Organization
HUDSON MEDICAL AND MENTAL HEALTH INTEGRATED SERVICES, LLC
Active
Other names
HUDSON MEDICAL AND MENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS FERNANDO JARAMILLO MD (MEDICAL DIRECTOR)
(201) 295-3033
Entity
Organization
Contact information
Practice address
301 60TH ST, LOWER LEVEL, WEST NEW YORK, NJ 07093-5422
(201) 295-3033
(201) 295-8592
Mailing address
301 60TH ST, LOWER LEVEL, WEST NEW YORK, NJ 07093-5422
(201) 295-3033
(201) 295-8592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07560000
NJ
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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