Individual
ALICIA G. TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
43 NEW SCOTLAND AVE # MC-139, ALBANY, NY 12208-3412
(518) 262-3131
Mailing address
43 NEW SCOTLAND AVE # MC-139, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
261747
MA
207P00000X
Emergency Medicine Physician
Primary
288581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102873A
—
MA
Enumeration date
06/04/2012
Last updated
01/19/2022
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