Provider Demographics
NPI:1912150087
Name:HUDSON VALLEY SPEECH THERAPY, PC
Entity type:Organization
Organization Name:HUDSON VALLEY SPEECH THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:BRODSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, SLP
Authorized Official - Phone:845-876-4313
Mailing Address - Street 1:9 CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1004
Mailing Address - Country:US
Mailing Address - Phone:845-876-4313
Mailing Address - Fax:
Practice Address - Street 1:9 CEDAR DR
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1004
Practice Address - Country:US
Practice Address - Phone:845-876-4313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0001701252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency