Provider Demographics
NPI:1053545814
Name:HUDSON HEALTH PLAN CID PROJECT
Entity type:Organization
Organization Name:HUDSON HEALTH PLAN CID PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRNBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-372-2223
Mailing Address - Street 1:303 S BROADWAY STE 321
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5410
Mailing Address - Country:US
Mailing Address - Phone:914-631-1611
Mailing Address - Fax:914-631-1615
Practice Address - Street 1:303 S BROADWAY STE 321
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5410
Practice Address - Country:US
Practice Address - Phone:914-631-1611
Practice Address - Fax:914-631-1615
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUDSON HEALTH PLAN, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management