Provider Demographics
NPI:1740860923
Name:HUDSON SURGERY CENTER, LLC
Entity type:Organization
Organization Name:HUDSON SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:VALENTYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:203-917-0793
Mailing Address - Street 1:234 E 23RD ST # 1A1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4607
Mailing Address - Country:US
Mailing Address - Phone:212-951-7020
Mailing Address - Fax:
Practice Address - Street 1:234 E 23RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4607
Practice Address - Country:US
Practice Address - Phone:203-917-0793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical