| Hudson Medical And Mental Health | |
|
301 60th St Lower Level West New York NJ 07093-5422 | |
| (201) 295-3033 | |
| (201) 295-8592 |
| Full Name | Hudson Medical And Mental Health |
|---|---|
| Speciality | Family Medicine |
| Location | 301 60th St, West New York, New Jersey |
| Authorized Official Name and Position | Luis Fernando Jaramillo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2012953033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Medical And Mental Health 301 60th St Lower Level West New York NJ 07093-5422 Ph: (201) 295-3033 | Hudson Medical And Mental Health 301 60th St Lower Level West New York NJ 07093-5422 Ph: (201) 295-3033 |
| NPI Number | 1073560207 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3476565417 |
|---|---|
| Medicare Enrollment ID | O20060612000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073560207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA07560000 (New Jersey) | Primary |
| Provider Name | Victor F Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518904036 PECOS PAC ID: 0446275614 Enrollment ID: I20051007000262 |
| Provider Name | Luis Fernando Jaramillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952361784 PECOS PAC ID: 0143112615 Enrollment ID: I20060612000207 |
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