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General NPI Number Information
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NPI Number | 1518242973
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Entity Type | Organization
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Legal Business Name | HUDSON AMBULATORY MEDICAL, P.C.
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 281 BROADWAY 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10007-1831
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Country | US
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Telephone | 646-596-7386
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Fax | 646-360-2739
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Provider Business Mailing Address
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Address Line | 281 BROADWAY 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10007-1831
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Country | US
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Telephone | 646-596-7386
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Fax | 646-360-2739
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHANN C KUO
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Credential | M.D.
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Telephone | 646-596-7386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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