Kevin Tudor is a Jamaica, New York based male podiatrist with 32 years of experience in Podiatry. He completed his graduation from New York College Of Podiatric Medicine in 1992. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kevin Tudor for Podiatry is N005056 in New York. Kevin Tudor is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Kevin Tudor speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
32+ years
Medical School Attended:
New York College Of Podiatric Medicine
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
18005 Hillside Ave, Jamaica, New York, 11432
Phone:
718-526-6300
Fax:
718-262-7064
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6305843434
Enrollment ID:
I20061101000555
NPI Number:
1538195110
NPI Enumeration Date:
24 Jun, 2006
NPI Last Update On:
01 Oct, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin Tudor are as mentioned below.
License Number
Specialization
State
Status
N005056
Podiatry
New York
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kevin Tudor is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Advantagecare Physicians Pc (2365735008)
364
Other Medical Identifiers:
Other legacy medical identifiers associated with Kevin Tudor such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01421787
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
55 Water Street, 2nd Floor Cred Dept New York, New York
Zip:
10041-0004
Phone Number:
646-680-2888
Fax Number:
516-542-5556
Patients can reach Kevin Tudor at 18005 Hillside Ave, Jamaica, New York or can call to book an appointment on 718-526-6300. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.