Individual
INNA KUDRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
71 PROSPECT AVE, SUITE 210, HUDSON, NY 12534-2907
(518) 828-3327
(518) 697-8158
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8363
(518) 697-3388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-211095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000492006001
BSNENY
—
05
—
01866077
—
NY
01
—
04026007325
FIDELIS
—
01
—
080139872
RAILROAD CARE
—
01
—
087073
MVP
—
01
—
10032025
CDPHP
—
01
—
141503
WELLCARE
—
01
—
1933944
UNITED HEALTH CARE
—
01
—
43363
GHI HMO
—
01
—
5771C1
BC/BS
—
01
—
5999073
GHI PPO
—
Enumeration date
05/19/2006
Last updated
05/07/2009
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