David B. Southren MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

163321 Issued in NY

Legal business name

DAVID B. SOUTHREN MD PC

Doing business as

Advanced Cardiovascular Care of Hudson Valley

Practice address

206 Route 303
Valley Cottage, NY 10989-2019

Phone

(845) 268-0880

Fax

(845) 268-0882

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

David B Southren, MD

Title

President

Phone

(845) 268-0880

Specialties & licenses 1

Addresses

Other names 1

• ADVANCED CARDIOVASCULAR CARE OF HUDSON VALLEY Doing business as

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689774671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ROUTE 303",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892019",
            "telephone_number": "845-268-0880",
            "fax_number": "845-268-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ROUTE 303",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892019",
            "telephone_number": "845-268-0880",
            "fax_number": "845-268-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. SOUTHREN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUTHREN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-268-0880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "163321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED CARDIOVASCULAR CARE OF HUDSON VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Debra Cruz, M.S.ED.
• Peter Cummins
• Christey Curran, RN
• CVS Albany, LLC
• Rachelle Dacanay, OTR/L
• Monique Anntionette Davis, LMHC
• Mary Denise Inah Alviar De Vera, OTR/L
• Mary Stephanie Alviar De Vera
• Paula Decrescenzo, LMT
• Andrea Michelle Deierlein, RN

• Cardiovascular Disease Physician in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Cardiovascular Disease 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.