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Organization
HUDSON HEIGHTS ACO, INC
Active
Organization
HUDSON HEIGHTS ACO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIENVENIDO FAJARDO MD (CEO)
(646) 417-0500
Entity
Organization
Contact information
Practice address
140 WADSWORTH AVE APT 4, NEW YORK, NY 10033-4817
(646) 417-0500
Mailing address
140 WADSWORTH AVE APT 4, NEW YORK, NY 10033-4817
(646) 417-0500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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