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Organization
VAN UDEN CENTER
Active
Organization
VAN UDEN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO VAN UDEN N.D. (CEO)
(800) 734-0709
Entity
Organization
Contact information
Practice address
9859 CORONA AVE, CORONA, NY 11368-2783
(347) 858-4356
(800) 734-0709
Mailing address
60 LATOURETTE LN, STATEN ISLAND, NY 10314-6363
(347) 858-1768
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ND100185 FEDERAL LIC
—
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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