Provider Demographics
NPI:1770509994
Name:LUDOMIRSKY, ACHIAU (MD)
Entity Type:Individual
Prefix:DR
First Name:ACHIAU
Middle Name:
Last Name:LUDOMIRSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 EAST 32 STREET
Mailing Address - Street 2:L3-MEDICAL
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-263-5940
Mailing Address - Fax:212-263-5808
Practice Address - Street 1:160 E 32ND ST
Practice Address - Street 2:L3-MEDICAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6004
Practice Address - Country:US
Practice Address - Phone:212-263-5940
Practice Address - Fax:212-263-5808
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2499062080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
920990381Medicare PIN
E77179Medicare UPIN