1356492045 NPI number — HUDSON VALLEY VISION CENTER INC.

Table of content: MS. LEYDA BELKIS CHING FNP (NPI 1508098294)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356492045 NPI number — HUDSON VALLEY VISION CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUDSON VALLEY VISION CENTER INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
VISIONEXCEL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356492045
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1202 ULSTER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINGSTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12401-1517
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-336-6310
Provider Business Mailing Address Fax Number:
845-336-0394

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1202 ULSTER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12401-1517
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-336-6310
Provider Business Practice Location Address Fax Number:
845-336-0394
Provider Enumeration Date:
01/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
POMERANTZ
Authorized Official First Name:
GLEN
Authorized Official Middle Name:
F
Authorized Official Title or Position:
OFFICER
Authorized Official Telephone Number:
845-336-6310

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  4084-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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