Provider Demographics
NPI:1629223755
Name:HUDSON NEUROLOGY & PAIN MANGEMENT
Entity Type:Organization
Organization Name:HUDSON NEUROLOGY & PAIN MANGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:YAZGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-420-6200
Mailing Address - Street 1:2983 JFK BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3849
Mailing Address - Country:US
Mailing Address - Phone:201-420-6200
Mailing Address - Fax:201-420-6207
Practice Address - Street 1:2983 JFK BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3849
Practice Address - Country:US
Practice Address - Phone:201-420-6200
Practice Address - Fax:201-420-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain