Provider Demographics
NPI:1760201321
Name:HUDSON HEALTH DME CORP
Entity type:Organization
Organization Name:HUDSON HEALTH DME CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELOUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-963-9861
Mailing Address - Street 1:14 WESTERVELT AVE
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-3034
Mailing Address - Country:US
Mailing Address - Phone:179-639-8619
Mailing Address - Fax:
Practice Address - Street 1:14 WESTERVELT AVE
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-3034
Practice Address - Country:US
Practice Address - Phone:917-963-9861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies