MEDICARE: HUDSON HEALTH PHYSICAL THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	028563	NY

General Provider Information

NPI Number	:	1144674466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON HEALTH PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	25 SMITH ST STE 202
Second Line	:
City	:	NANUET
State	:	NY
Zip	:	10954-2971
Country	:	US
Telephone Number	:	845-623-6333
Fax Number	:	845-623-5333

Provider Business Practice Location Address
First Line	:	25 SMITH ST STE 202
Second Line	:
City	:	NANUET
State	:	NY
Zip	:	10954-2971
Country	:	US
Telephone Number	:	845-623-6333
Fax Number	:	845-623-5333

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	KAY JUNG
Credential	:	PT
Telephone Number	:	845-623-6333

Provider Enumeration Date	:	04/22/2016
Last Update Date	:	05/03/2022

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