Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hudson Shores Medical Group PLLC

Organization Internal Medicine Physician · NPI 1205934148

Hudson Shores Medical Group PLLC is an Internal Medicine Physician in Watervliet, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 2nd Ave
Watervliet, NY 12189-2800
Phone: (518) 272-0028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1205934148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ram B — President · (518) 272-0028
NPI enumeratedSeptember 21, 2006
Last updated in NPPESMarch 18, 2011
Mailing address1500 2nd Ave, Watervliet, NY 12189-2800

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