Basic Information
Provider Information
NPI: 1639145105
EntityType: 2
ReplacementNPI:  
OrganizationName: HUDSON VALLEY ORTHOPAEDIC ASSOCIATES, P.C.
LastName:  
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Mailing Information
Address1: 23 FISH AND GAME RD
Address2:  
City: HUDSON
State: NY
PostalCode: 125343815
CountryCode: US
TelephoneNumber: 5188287644
FaxNumber: 5188281236
Practice Location
Address1: 23 FISH AND GAME RD
Address2:  
City: HUDSON
State: NY
PostalCode: 125343815
CountryCode: US
TelephoneNumber: 5188287644
FaxNumber: 5188281236
Other Information
ProviderEnumerationDate: 02/24/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: KAUFMAN
AuthorizedOfficialFirstName: STEWART
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 5188287644
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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