Suite, Derek Hudson
Suite, Derek Hudson is an sole proprietor health care provider with primary practice located at 1136 Neill Ave , Bronx NY 10461-1328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Suite, Derek Hudson can be contacted via phone (718) 518-7600.Contact Information
Primary practice address
1136 Neill Ave
Bronx NY 10461-1328
Phone: (718) 518-7600
Fax: (718) 518-7647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 198909-1 | New York |
Profile Details
| NPI number | 1467433862 |
|---|---|
| LBN Legal business name | Suite, Derek Hudson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2005 |
| Last updated | May 27th, 2015 - about 11 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 | 1467433862 | NPPES |
| New York | MEDICAID | 02501820 |
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