Healthcare Provider Details

I. General information

NPI: 1760268510
Provider Name (Legal Business Name): HUDSON MEDICAL WESTSIDE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 BROADWAY FL 2
NEW YORK NY
10007-2056
US

IV. Provider business mailing address

281 BROADWAY FL 2
NEW YORK NY
10007-2056
US

V. Phone/Fax

Practice location:
  • Phone: 646-596-7386
  • Fax: 646-850-9326
Mailing address:
  • Phone: 646-596-7386
  • Fax: 646-850-9326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ALLAN ABBARIAO
Title or Position: ADMINISTRATOR
Credential:
Phone: 929-310-4020