| Hudson Family Medical Pc | |
|
226 N Main St New City NY 10956-5302 | |
| (845) 204-8480 | |
| (845) 502-9520 |
| Full Name | Hudson Family Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 226 N Main St, New City, New York |
| Authorized Official Name and Position | Adeel Shahid Yousphi (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8452048480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Family Medical Pc 226 N Main St New City NY 10956-5302 Ph: (845) 204-8480 | Hudson Family Medical Pc 226 N Main St New City NY 10956-5302 Ph: (845) 204-8480 |
| NPI Number | 1053128363 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 4082141262 |
|---|---|
| Medicare Enrollment ID | O20241230002344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053128363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Adeel Yousphi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699398065 PECOS PAC ID: 3072937119 Enrollment ID: I20241202000235 |
| Provider Name | Ayesha Bakhtiar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912535592 PECOS PAC ID: 4183071038 Enrollment ID: I20241209002837 |
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