Provider Demographics
NPI:1144469602
Name:HUDSON MEDICAL ASSOCIATES, P. C.
Entity type:Organization
Organization Name:HUDSON MEDICAL ASSOCIATES, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SALVATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-337-7282
Mailing Address - Street 1:44 PONDFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3802
Mailing Address - Country:US
Mailing Address - Phone:914-337-7282
Mailing Address - Fax:914-337-7324
Practice Address - Street 1:44 PONDFIELD RD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3802
Practice Address - Country:US
Practice Address - Phone:914-337-7282
Practice Address - Fax:914-337-7324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY158216207R00000X
NY159270207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW94351Medicare PIN