Carl, Gary Hudson

Carl, Gary Hudson is an individual health care provider with primary practice located at 623 Main St Ste 200 , Olean NY 14760-1532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Carl, Gary Hudson can be contacted via phone (716) 701-1818.

Contact Information

Primary practice address
623 Main St Ste 200 Olean NY 14760-1532
Fax: (716) 701-1820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 243986 New York

Profile Details

NPI number 1427163310
LBN Legal business name Carl, Gary Hudson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427163310 NPPES
New York MEDICAID 02878935
New York Other 1914267
New York Other BA0290

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