Healthcare Provider Details

I. General information

NPI: 1326955832
Provider Name (Legal Business Name): ZACHARY HUDSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 DORCHESTER AVE
BOSTON MA
02124-2426
US

IV. Provider business mailing address

3431 CANANDAIGUA RD
MACEDON NY
14502-9336
US

V. Phone/Fax

Practice location:
  • Phone: 617-533-8902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHI5265
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: