| Hudson Vista Medical,pc | |
|
19 Laurel Ave # Ll1 Cornwall NY 12518-1403 | |
| (845) 534-7080 | |
| (845) 458-4435 |
| Full Name | Hudson Vista Medical,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19 Laurel Ave # Ll1, Cornwall, New York |
| Authorized Official Name and Position | Thomas Gibney (SECRETARY) |
| Authorized Official Contact | 8455682881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Vista Medical,pc 70 Dubois Street 5th Floor Administration Newburgh NY 12550 Ph: (845) 458-4855 | Hudson Vista Medical,pc 19 Laurel Ave # Ll1 Cornwall NY 12518-1403 Ph: (845) 534-7080 |
| NPI Number | 1659666840 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Medicare PECOS PAC ID | 8628240215 |
|---|---|
| Medicare Enrollment ID | O20111003000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659666840 | NPI | - | NPPES |
| 03377979 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
| 208600000X | Surgery | (New York) | Secondary |
| Provider Name | David Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427157478 PECOS PAC ID: 4880675909 Enrollment ID: I20040525001750 |
| Provider Name | Sandeep K Malik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154484525 PECOS PAC ID: 0547229114 Enrollment ID: I20041008000277 |
| Provider Name | Lisa Sager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699717710 PECOS PAC ID: 8022078781 Enrollment ID: I20041016000125 |
| Provider Name | Diana Linetskaya |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932256179 PECOS PAC ID: 3072576636 Enrollment ID: I20041105000175 |
| Provider Name | Olanrewaju Somorin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679661979 PECOS PAC ID: 1557324852 Enrollment ID: I20041108000914 |
| Provider Name | Anjali N Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831101757 PECOS PAC ID: 1557325917 Enrollment ID: I20041116000147 |
| Provider Name | Anthony R Darmiento |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578670899 PECOS PAC ID: 0941259097 Enrollment ID: I20050117000116 |
| Provider Name | Eduardo N Pinto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013995620 PECOS PAC ID: 6800848540 Enrollment ID: I20050210000754 |
| Provider Name | Funsho R Busari-alabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023062106 PECOS PAC ID: 2062317506 Enrollment ID: I20060109001104 |
| Provider Name | Miriam E Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356458277 PECOS PAC ID: 6800819111 Enrollment ID: I20060112000100 |
| Provider Name | Ashok N Vaswani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205848025 PECOS PAC ID: 8022015650 Enrollment ID: I20061024000566 |
| Provider Name | Alice J Looney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942288261 PECOS PAC ID: 2961409313 Enrollment ID: I20061027000501 |
| Provider Name | David E Rubin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790729960 PECOS PAC ID: 7618937186 Enrollment ID: I20070628000046 |
| Provider Name | Hemlata Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386817948 PECOS PAC ID: 9133206949 Enrollment ID: I20080403000326 |
| Provider Name | Paul Reichman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225114978 PECOS PAC ID: 8123102209 Enrollment ID: I20080627000005 |
| Provider Name | Margarita Kogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437350923 PECOS PAC ID: 9032286935 Enrollment ID: I20080918000291 |
| Provider Name | Sajid a Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275655565 PECOS PAC ID: 1254432602 Enrollment ID: I20090624000304 |
| Provider Name | Nicholas G Bambino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417967514 PECOS PAC ID: 9638206626 Enrollment ID: I20100422001004 |
| Provider Name | Yu Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194798736 PECOS PAC ID: 1658455001 Enrollment ID: I20101112001133 |
| Provider Name | Rakesh K Abbi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669447009 PECOS PAC ID: 1355536566 Enrollment ID: I20101113000259 |
| Provider Name | Jonathan R Fugo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407056534 PECOS PAC ID: 4284806654 Enrollment ID: I20111006000439 |
| Provider Name | Kimberly Darrigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568762516 PECOS PAC ID: 5698932994 Enrollment ID: I20120127000766 |
| Provider Name | Benjamin Chukwuocha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083739817 PECOS PAC ID: 8224292701 Enrollment ID: I20120613000366 |
| Provider Name | Rehan J Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700078649 PECOS PAC ID: 8022264282 Enrollment ID: I20120803000722 |
| Provider Name | Manita Sawhney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255564969 PECOS PAC ID: 9234385311 Enrollment ID: I20120806000122 |
| Provider Name | Uticia Belfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235369042 PECOS PAC ID: 0042466575 Enrollment ID: I20120815000629 |
| Provider Name | Alain Neptune |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619102373 PECOS PAC ID: 1951457142 Enrollment ID: I20120914000056 |
| Provider Name | Joshua N Vernatter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215176540 PECOS PAC ID: 6901057116 Enrollment ID: I20121116000530 |
| Provider Name | Travis S Kipping |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144533571 PECOS PAC ID: 9739333402 Enrollment ID: I20130205000013 |
| Provider Name | Richard M Bryan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508952953 PECOS PAC ID: 9638179237 Enrollment ID: I20130624000003 |
| Provider Name | Lisa Thayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023050879 PECOS PAC ID: 7719128503 Enrollment ID: I20130719000540 |
| Provider Name | Rajendra K Mannava |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538466438 PECOS PAC ID: 5193959773 Enrollment ID: I20131015000698 |
| Provider Name | Geraldine M Jean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588869192 PECOS PAC ID: 9335231497 Enrollment ID: I20131120000115 |
| Provider Name | Stephanie G Abraitis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710312152 PECOS PAC ID: 6103143318 Enrollment ID: I20150327001653 |
| Provider Name | Rachel Lugo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972903243 PECOS PAC ID: 0941528822 Enrollment ID: I20150407000052 |
| Provider Name | David Michael Campanaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033351978 PECOS PAC ID: 3971821000 Enrollment ID: I20150421001240 |
| Provider Name | Lauren a Licata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023337763 PECOS PAC ID: 8527284546 Enrollment ID: I20150930002364 |
| Provider Name | Elizabeth Eckardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710351150 PECOS PAC ID: 6507169042 Enrollment ID: I20160118000227 |
| Provider Name | Artur Gosturani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245649359 PECOS PAC ID: 2466774427 Enrollment ID: I20160316001488 |
| Provider Name | Danielle C Belser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497066187 PECOS PAC ID: 9436371457 Enrollment ID: I20160623001629 |
| Provider Name | Zsuzsanna Sidlo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598008765 PECOS PAC ID: 0941596662 Enrollment ID: I20160907000624 |
| Provider Name | Kirti Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952661274 PECOS PAC ID: 1052699501 Enrollment ID: I20161103001265 |
| Provider Name | Kristin a Magnanini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154876662 PECOS PAC ID: 9931488590 Enrollment ID: I20161122002021 |
| Provider Name | Christopher H Rajkumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275813651 PECOS PAC ID: 8426220609 Enrollment ID: I20170110003333 |
| Provider Name | Benjamin a Margolis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770876922 PECOS PAC ID: 5597087841 Enrollment ID: I20170721000309 |
| Provider Name | Vadim Meytes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811255003 PECOS PAC ID: 5799058301 Enrollment ID: I20170901002217 |
| Provider Name | Karissa a Setera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801221098 PECOS PAC ID: 8123380656 Enrollment ID: I20180322000090 |
| Provider Name | Shawn Joseph Brito |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942611546 PECOS PAC ID: 6800185182 Enrollment ID: I20180418002036 |
| Provider Name | Ayodeji O Nubi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962709865 PECOS PAC ID: 8820254477 Enrollment ID: I20180518000706 |
| Provider Name | Balika Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700271699 PECOS PAC ID: 7416248174 Enrollment ID: I20180621002234 |
| Provider Name | Sarah a Zaino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326418856 PECOS PAC ID: 8224385224 Enrollment ID: I20180723001182 |
| Provider Name | Javeria Farhan Chaudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932528874 PECOS PAC ID: 3779831888 Enrollment ID: I20180807000659 |
| Provider Name | German Restrepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023332848 PECOS PAC ID: 7810252103 Enrollment ID: I20180817002369 |
| Provider Name | Kathryn Ham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588140107 PECOS PAC ID: 0446503015 Enrollment ID: I20181029001341 |
| Provider Name | Shanna L Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346716727 PECOS PAC ID: 3971848466 Enrollment ID: I20190103001095 |
| Provider Name | Syed a Qamer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043536436 PECOS PAC ID: 2668772831 Enrollment ID: I20190507002301 |
| Provider Name | Tien K Lau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467807776 PECOS PAC ID: 5092069369 Enrollment ID: I20190705000857 |
| Provider Name | Bing Gong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306238100 PECOS PAC ID: 7214282755 Enrollment ID: I20190802000470 |
| Provider Name | Katherine Pinheiro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982922464 PECOS PAC ID: 8820328958 Enrollment ID: I20191002002347 |
| Provider Name | Nicole Corazon Agcanas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871943373 PECOS PAC ID: 9032459771 Enrollment ID: I20191203000283 |
| Provider Name | Ashley Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407474604 PECOS PAC ID: 7113343641 Enrollment ID: I20200814001134 |
| Provider Name | Stephanie Pulikkottil Joseph |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548558133 PECOS PAC ID: 2668788308 Enrollment ID: I20210202001273 |
| Provider Name | Amalthea Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295327864 PECOS PAC ID: 6709293863 Enrollment ID: I20210408000156 |
| Provider Name | Jenny a Dzurica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801344031 PECOS PAC ID: 1153730932 Enrollment ID: I20210506002852 |
| Provider Name | Dimitri Maxime Vital-herne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528598224 PECOS PAC ID: 2769725431 Enrollment ID: I20210813002385 |
| Provider Name | Kazell a Penalosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215695077 PECOS PAC ID: 4981097730 Enrollment ID: I20220131002069 |
| Provider Name | Kaitlin Yocum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871254813 PECOS PAC ID: 1254724446 Enrollment ID: I20220211000104 |
| Provider Name | Erin a Skrobanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457073637 PECOS PAC ID: 1557732062 Enrollment ID: I20230120000290 |
| Provider Name | Adeel Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093156028 PECOS PAC ID: 6204122732 Enrollment ID: I20230207000726 |
| Provider Name | Saher N Amin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245894286 PECOS PAC ID: 4688058126 Enrollment ID: I20230426002308 |
| Provider Name | Thien-duy B Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669092672 PECOS PAC ID: 3577917061 Enrollment ID: I20231003000958 |
| Provider Name | Patricia D Tuber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184960387 PECOS PAC ID: 1658718895 Enrollment ID: I20240322002545 |
| Provider Name | Amika R Reynolds |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336406644 PECOS PAC ID: 0042523532 Enrollment ID: I20240709002321 |
| Provider Name | David Blumberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295890440 PECOS PAC ID: 5698707610 Enrollment ID: I20250127000854 |
| Provider Name | Rinda Mousa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043664675 PECOS PAC ID: 0345598611 Enrollment ID: I20250418000023 |
| Provider Name | Umair S. Majoka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174084909 PECOS PAC ID: 7416282231 Enrollment ID: I20250611002469 |
| Provider Name | Maxwell D Havlusch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508503293 PECOS PAC ID: 7810362282 Enrollment ID: I20250815001054 |
| Provider Name | Shilpa Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952046401 PECOS PAC ID: 7810491313 Enrollment ID: I20250918000223 |
| Provider Name | Umair a Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922739556 PECOS PAC ID: 3476922535 Enrollment ID: I20250918004734 |
| Provider Name | Swokiya Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770228439 PECOS PAC ID: 9537665419 Enrollment ID: I20250930002449 |
| Provider Name | Mahak Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497288419 PECOS PAC ID: 8022380393 Enrollment ID: I20251130000001 |
| Provider Name | Edna a Muhammad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881746162 PECOS PAC ID: 3971937731 Enrollment ID: I20260324001344 |
Faculty Group Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Laurel Ave Ste 240, Faculty Group Practice St Luke's Cornwall Hospital, Cornwall, NY 12518 Phone: 845-458-4876 Fax: 845-458-4560 |
G. S. Mehar Physician, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Elm St, Cornwall, NY 12518 Phone: 845-534-7700 Fax: 845-534-3674 |
Prestige Physicians Services, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Willow Ave, Cornwall, NY 12518 Phone: 845-565-1771 Fax: 845-565-4941 |