Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X01920 | NY |
NPI | 1558460576 |
---|---|
Provider Name | Dr. Eliot S Hudes |
First Address | Poughkeepsie, NY 12601-0203 |
Second Address | Poughkeepsie, NY 12603-4351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T51928 | (02) |