Provider Demographics
NPI:1356233050
Name:HUDSON RIVER VALLEY MEDICAL PC
Entity type:Organization
Organization Name:HUDSON RIVER VALLEY MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DHVANI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTHARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-848-3626
Mailing Address - Street 1:400 WESTGATE BUSINESS CENTER DR
Mailing Address - Street 2:STE 102A
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2231
Mailing Address - Country:US
Mailing Address - Phone:845-848-3626
Mailing Address - Fax:845-848-3627
Practice Address - Street 1:400 WESTGATE BUSINESS CENTER DR
Practice Address - Street 2:STE 102A
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2231
Practice Address - Country:US
Practice Address - Phone:845-848-3626
Practice Address - Fax:845-848-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty