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General NPI Number Information
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NPI Number | 1821239328
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Entity Type | Organization
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Legal Business Name | HUDSON MEDICAL SERVICES PC
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 175 MEMORIAL HWY STE 2-6
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5640
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Country | US
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Telephone | 914-355-4500
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Fax | 914-355-5397
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Provider Business Mailing Address
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Address Line | PO BOX 503
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City | LARCHMONT
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State | NY
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Zip | 10538-0503
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Country | US
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Telephone | 917-656-0142
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. KYLE A LIPTON
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Credential | M.D.
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Telephone | 917-656-0142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 208757
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License Number State | NY
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