Hudson, Jean Mary

Hudson, Jean Mary is an sole proprietor health care provider with primary practice located at 124 Main St , Goshen NY 10924-2124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hudson, Jean Mary can be contacted via phone (845) 291-2332.

Contact Information

Primary practice address
124 Main St Goshen NY 10924-2124
Phone: (845) 291-2332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 154844 New York

Profile Details

NPI number 1386990901
LBN Legal business name Hudson, Jean Mary
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2012
Last updated Aug 1st, 2012 - about 12 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 1386990901 NPPES
New York MEDICAID 00473074

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