MEDICARE: HUDSON VASCULAR PC

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
1	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1912677675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON VASCULAR PC

Provider Business Mailing Address
First Line	:	18 MERCER ST FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-2527
Country	:	US
Telephone Number	:	212-389-5988
Fax Number	:	516-569-3677

Provider Business Practice Location Address
First Line	:	370 BAY RIDGE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5315
Country	:	US
Telephone Number	:	917-475-6822
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. NATALIE WEIKERT
Credential	:
Telephone Number	:	937-760-8789

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	12/19/2025

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