Provider Demographics
NPI:1144430539
Name:HUDSON VALLEY WOMEN'S MEDICAL GROUP PC
Entity type:Organization
Organization Name:HUDSON VALLEY WOMEN'S MEDICAL GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRACKSINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-245-3056
Mailing Address - Street 1:200 VETERANS RD STE 11
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4187
Mailing Address - Country:US
Mailing Address - Phone:914-245-3056
Mailing Address - Fax:914-962-9059
Practice Address - Street 1:200 VETERANS RD STE 11
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4187
Practice Address - Country:US
Practice Address - Phone:914-245-3056
Practice Address - Fax:914-962-9059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184544-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01247089Medicaid
NY41K081Medicare ID - Type Unspecified
NY01247089Medicaid