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Medical Associates of the Hudson Valley

NPI 1720846439ActiveOrganization· Family Medicine· Phoenicia, NY

Family Medicine in Phoenicia, New York, registered in NPPES in March 2024, part of Medical Associates of the Hudson Valley. The authorized official on file is Marc M. Tack, DO, Managing Partner.

Overview

NPI1720846439
StatusActive
Entity typeOrganization (subpart)
Parent organizationMedical Associates of the Hudson Valley
NPI issuedMar 7, 2024
Last updated in NPPESMar 7, 2024
Certified by providerMar 5, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Phoenicia

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