Organization
HUDSON RETINA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELLEN BRITTIS M.D. (OWNER)
(914) 965-2606
Entity
Organization
Contact information
Practice address
984 N BROADWAY, SUITE 501, YONKERS, NY 10701-1318
(914) 965-2606
(914) 965-2880
Mailing address
984 N BROADWAY, SUITE 501, YONKERS, NY 10701-1318
(914) 965-2606
(914) 965-2880
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
166425
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
166425
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100000114
PTAN
NY
Enumeration date
08/09/2008
Last updated
04/24/2017
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