Individual
ARIELLE HUDESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 VILLAS CIR, MELVILLE, NY 11747-3051
(516) 695-5726
Mailing address
21 VILLAS CIR, MELVILLE, NY 11747-3051
(516) 695-5726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1150810171
NY
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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