Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 20090065764 | NY |
N | 175L00000X | Homeopath | 20090065764 | NY |
NPI | 1386978930 |
---|---|
Provider Name | Tony F. Xhudo |
First Address | Florida, NY 10921-1319 |
Second Address | Florida, NY 10921-1319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2009 |
Last Update Date | 30/09/2009 |