Tudor, Kevin

Tudor, Kevin is an individual health care provider with primary practice located at 18005 Hillside Ave , Jamaica NY 11432. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Tudor, Kevin can be contacted via phone (718) 526-6300.

Contact Information

Primary practice address
18005 Hillside Ave Jamaica NY 11432
Phone: (718) 526-6300
Fax: (718) 262-7064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005056 New York

Profile Details

NPI number 1538195110
LBN Legal business name Tudor, Kevin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 1st, 2019 - about 5 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 1538195110 NPPES
New York MEDICAID 01421787

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