Organization
HUDSON LIFE MEDICAL, PLLC
Active
Organization
HUDSON LIFE MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHANN C KUO M.D. (MEDICAL DIRECTOR)
(646) 596-7386
Entity
Organization
Contact information
Practice address
160 7TH AVENUE S, UNIT B, NEW YORK, NY 10014-2727
(646) 596-7386
(646) 850-9326
Mailing address
281 BROADWAY, 2ND FLOOR, NEW YORK, NY 10007-1831
(646) 596-7386
(646) 360-2739
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/20/2015
Last updated
11/16/2023
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