| Hudson Valley Psychiatric Associates Llc | |
|
291 Wall St Kingston NY 12401-3849 | |
| (845) 339-3736 | |
| (845) 339-3736 |
| Full Name | Hudson Valley Psychiatric Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 291 Wall St, Kingston, New York |
| Authorized Official Name and Position | Lisa Bascone (PRACTICE MANAGER) |
| Authorized Official Contact | 8453393736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Valley Psychiatric Associates Llc 291 Wall St Kingston NY 12401-3849 Ph: (845) 339-3736 | Hudson Valley Psychiatric Associates Llc 291 Wall St Kingston NY 12401-3849 Ph: (845) 339-3736 |
| NPI Number | 1477598605 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 09/30/2015 |
| Medicare PECOS PAC ID | 2062303977 |
|---|---|
| Medicare Enrollment ID | O20040322000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477598605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | John Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891753265 PECOS PAC ID: 2365431970 Enrollment ID: I20040510000425 |
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