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Individual

KEVIN TUDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
18005 HILLSIDE AVE, JAMAICA, NY 11432
(718) 526-6300
(718) 262-7064
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005056
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01421787
NY
Enumeration date
06/24/2006
Last updated
10/24/2025
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