Provider Demographics
NPI:1285701672
Name:PLANNED PARENTHOOD HUDSON PECONIC INC.
Entity type:Organization
Organization Name:PLANNED PARENTHOOD HUDSON PECONIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTURIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:914-467-7335
Mailing Address - Street 1:570 TAXTER RD STE 250
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-2349
Mailing Address - Country:US
Mailing Address - Phone:914-467-7335
Mailing Address - Fax:914-418-1042
Practice Address - Street 1:70 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3502
Practice Address - Country:US
Practice Address - Phone:631-361-7526
Practice Address - Fax:631-361-7678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY590220BR261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03003087Medicaid
NY121814OtherWELLCARE