Provider Demographics
NPI:1245297613
Name:HUDSON VALLEY EYE SURGEONS
Entity type:Organization
Organization Name:HUDSON VALLEY EYE SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROCKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-896-9280
Mailing Address - Street 1:200 WESTASE BUSINESS CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524
Mailing Address - Country:US
Mailing Address - Phone:845-896-9280
Mailing Address - Fax:845-896-0246
Practice Address - Street 1:200 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2264
Practice Address - Country:US
Practice Address - Phone:845-896-9280
Practice Address - Fax:845-896-0246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00398572Medicaid
NY0277170001Medicare NSC
W03761Medicare ID - Type Unspecified
NY1245297613Medicare PIN