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PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C. NPI 1255888079


NPI Information

NPI: 1255888079
Provider Name: PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 33D0968393

Address:
969 MAIN ST
FISHKILL, NY
ZIP 12524
Phone: (845) 897-9797
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PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C. is a podiatrist in Fishkill, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C. NPI is 1255888079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

969 MAIN ST
FISHKILL, NY
ZIP 12524-789
Phone: (845) 897-9797

The provider's authorized official is Penny Napolitano .
The authorized official title is Director Of Finance and has the following contact phone number (845) 471-9410.

The CLIA number assigned to this NPI record is 33D0968393 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/9/2016 and was last updated on 10/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17411960001MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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