Individual
DR. VINCENT RICHARD BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 719-1326
Mailing address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 719-1326
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
092527
NY
Other
Enumeration date
08/07/2006
Last updated
11/14/2007
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