Organization
HUDSON SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRIY DVOSKIN MD (PRESIDENT)
(718) 998-9890
Entity
Organization
Contact information
Practice address
100 OLD PALISADE RD APT 3910, FORT LEE, NJ 07024-7029
(347) 228-1065
Mailing address
100 OLD PALISADE RD APT 3910, FORT LEE, NJ 07024-7029
(347) 228-1065
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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