Provider Demographics
NPI:1255603437
Name:HUDSON ENT, P.C.
Entity type:Organization
Organization Name:HUDSON ENT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KORTBUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-758-1456
Mailing Address - Street 1:7385 S BROADWAY # 2
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1745
Mailing Address - Country:US
Mailing Address - Phone:845-758-1456
Mailing Address - Fax:845-758-9590
Practice Address - Street 1:7385 S BROADWAY # 2
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1745
Practice Address - Country:US
Practice Address - Phone:845-758-1456
Practice Address - Fax:845-758-9590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty