Dudley, Kristin
Dudley, Kristin is an sole proprietor health care provider with primary practice located at 180 S Broadway , Nyack NY 10960-4423. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Dudley, Kristin can be contacted via phone (845) 353-3267.Contact Information
Primary practice address
180 S Broadway
Nyack NY 10960-4423
Phone: (845) 353-3267
Fax: (845) 353-3628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 1279-1 | New York |
| Other Service Providers / Acupuncturist | 171100000X | 25MZ00021800 | New Jersey |
Profile Details
| NPI number | 1780770727 |
|---|---|
| LBN Legal business name | Dudley, Kristin |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780770727 | NPPES |
| New York | Other | 95X071 | EMPIRE BC/BS |
| New York | Other | 95X072 | EMPIRE BC/BS |
| New York | Other | P2635238 | EMPIRE BC/BS |
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