| East Hudson Primary Care, Pc | |
|
433 57th St West New York NJ 07093-2119 | |
| (201) 863-2620 | |
| (201) 863-4804 |
| Full Name | East Hudson Primary Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 433 57th St, West New York, New Jersey |
| Authorized Official Name and Position | Agustin Diaz (PRESIDENT) |
| Authorized Official Contact | 2018632620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Hudson Primary Care, Pc 433 57th St West New York NJ 07093-2119 Ph: (201) 863-2620 | East Hudson Primary Care, Pc 433 57th St West New York NJ 07093-2119 Ph: (201) 863-2620 |
| NPI Number | 1689633661 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689633661 | NPI | - | NPPES |
| 8353506 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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