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NPI Code Detail

MEDICARE: DR. LAUREN BUDOW

MEDICARE:  DR. LAUREN  BUDOW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine Physician172131NY
2208000000XPediatrics Physician172131NY

General Provider Information

NPI Number : 1417010802
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN BUDOW
Provider Business Mailing Address
First Line : 800 CROSS RIVER RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-3549
Country : US
Telephone Number : 914-763-8151
Fax Number : 914-763-2519
Provider Business Practice Location Address
First Line : 800 CROSS RIVER RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-3549
Country : US
Telephone Number : 914-763-8151
Fax Number : 914-763-2519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/21/2022

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