Organization
MID-HUDSON COMPREHENSIVE MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJATA VIDYASAGAR MD. (OWNER/MD.)
(718) 405-0205
Entity
Organization
Contact information
Practice address
741 EAST 233RD STREET, BRONX, NY 10466
(718) 405-0203
(718) 405-1628
Mailing address
174 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-8077
(914) 328-6083
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
144222
NY
Other
Enumeration date
07/20/2006
Last updated
08/06/2015
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