Provider Demographics
NPI:1427271956
Name:CROSS VALLEY HEALTH & MEDICINE, P.C.
Entity type:Organization
Organization Name:CROSS VALLEY HEALTH & MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:I
Authorized Official - Last Name:SALADINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-270-9484
Mailing Address - Street 1:4 HOPEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1376
Mailing Address - Country:US
Mailing Address - Phone:845-561-7075
Mailing Address - Fax:845-565-1778
Practice Address - Street 1:407 GIDNEY AVE
Practice Address - Street 2:SUITE B
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3702
Practice Address - Country:US
Practice Address - Phone:845-561-7075
Practice Address - Fax:845-561-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217778-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02142634Medicaid
NY02142634Medicaid
NYH35243Medicare UPIN