Hudson Valley Cleft Craniofacial Care PC (Corporation)

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

HUDSON VALLEY CLEFT CRANIOFACIAL CARE PC (CORPORATION)

Practice address

280 Central Park Ave Ste 460
Hartsdale, NY 10530

Phone

(914) 949-4949

NPI assigned

May 17, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Heitzler

Title

Owner

Phone

(914) 949-4949

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1174260624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CENTRAL PARK AVE",
            "address_2": "STE 460",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "10530",
            "telephone_number": "914-949-4949",
            "fax_number": "914-949-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CENTRAL PARK AVE STE 460",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "10530",
            "telephone_number": "914-949-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY CLEFT CRANIOFACIAL CARE PC (CORPORATION)",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "HEITZLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-949-4949"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair Lynne Hoffman, M.S.,CCC-SLP
• Leif Odd Holgersen, M.D.
• Larry S, Honigman, D.D.S.
• Emanuella Howley
• Dawn M Hudak, EDD, LMHC, CCMHC
• Hudson Valley Lithotripsy Associates, P.C.
• Hudson Valley Physical Therapy LLC
• Jai Hundley
• Diane Andrea Hurd, MA. CCC-SLP
• Shawnlee P Hutchinson-Mitchell, APRN, FNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Hartsdale, NY
• Providers in Hartsdale, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.