Healthcare Provider Details

I. General information

NPI: 1669390274
Provider Name (Legal Business Name): HUDSON CIRCLE MEDICAL SERVICES OH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 59TH ST STE 600
BROOKLYN NY
11204-2545
US

IV. Provider business mailing address

2250 59TH ST STE 600
BROOKLYN NY
11204-2545
US

V. Phone/Fax

Practice location:
  • Phone: 718-400-2872
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BEATTY
Title or Position: MEMBER
Credential:
Phone: 718-400-2872