Provider Demographics
NPI:1447490388
Name:HUDSON VALLEY INFECTIOUS DISEASES, P.C.
Entity type:Organization
Organization Name:HUDSON VALLEY INFECTIOUS DISEASES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:P
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-485-9040
Mailing Address - Street 1:74 W CEDAR ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1310
Mailing Address - Country:US
Mailing Address - Phone:845-485-9040
Mailing Address - Fax:
Practice Address - Street 1:74 W CEDAR ST STE 2C
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1310
Practice Address - Country:US
Practice Address - Phone:845-485-9040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212237207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01896271Medicaid
NYG54848Medicare UPIN
NY01896271Medicaid