Organization
HUDSON PAIN MEDICINE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINWEIKE IZEOGU MD (PROVIDER)
(845) 381-1164
Entity
Organization
Contact information
Practice address
400 ROUTE 211 E STE 12, MIDDLETOWN, NY 10940-2123
(845) 381-1164
Mailing address
400 ROUTE 211 E STE 12, MIDDLETOWN, NY 10940-2123
(845) 381-1164
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235169
STATE LICENSE
NY
Enumeration date
07/01/2022
Last updated
07/01/2022
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