MID-HUDSON OPHTHALMOLOGICAL RETINA CONSULTANTS PLLC NPI 1831266493

NPI Information

NPI: 1831266493
Provider Name: MID-HUDSON OPHTHALMOLOGICAL RETINA CONSULTANTS, PLLC
Classification: Ophthalmology - 207WX0107X
Specialization: Retina Specialist
Entity Type: Organization
Doing Business As: MID-HUDSON RETINA CONSULTANTS, PLLC
Address: 450 GIDNEY AVE
NEWBURGH, NY
ZIP 12550
Phone: (845) 562-1100

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NPI Details

MID-HUDSON OPHTHALMOLOGICAL RETINA CONSULTANTS, PLLC is a retina specialist ophthalmology in Newburgh, NY. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. MID-HUDSON OPHTHALMOLOGICAL RETINA CONSULTANTS, PLLC NPI is 1831266493. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mid-hudson Retina Consultants, Pllc.

The provider's business location address is:

450 GIDNEY AVE
NEWBURGH, NY
ZIP 12550-116
Phone: (845) 562-1100
Fax: (845) 562-1162

The provider's authorized official is Colleen M Locicero .
The authorized official title is Office Manager and has the following contact phone number (845) 692-0834.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 4/3/2017.

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
1	207WX0107X	Ophthalmology	Retina Specialist	149190	NEW YORK	Yes

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
1	149190-1	OTHER	NEW YORK	LICENSE
2	00718525	MEDICAID	NEW YORK
3	192875-2	OTHER	NEW YORK	LICENSE
4	W39061	MEDICARE PIN	NEW 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: 3/30/2025

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