Lifebridge Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

LIFEBRIDGE INC

Practice address

45 Reade PL
Poughkeepsie, NY 12601-3947

Phone

(845) 473-2273

Fax

(845) 790-0009

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Donald Hines

Title

Vice President of Finance

Phone

(845) 473-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hudson Vly Palliative Care Other name

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447456819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 VIOLET AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-473-2273",
            "fax_number": "845-790-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-473-2273",
            "fax_number": "845-790-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "845-473-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02148492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Vly Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donald C Lien, MD
• Kevin K H Lieu, MD
• Young Ho Lieu, M.D.
• Life Care OB/GYN, PC
• Life Way Transportation LLC
• Beth Anne Liguori, LMHC
• Rakesh Reddy Likki, M.B.B.S
• Heidi Diane Lim, PA-C
• Wendy Anne Linehan, RN
• Julie Ling, MD FACC

• Pain Medicine Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.