Provider Demographics
NPI:1881920874
Name:HUDSON CARE PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:HUDSON CARE PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REAN JOHN
Authorized Official - Middle Name:DE LEON
Authorized Official - Last Name:ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:845-309-2594
Mailing Address - Street 1:80 RIVER ST
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5626
Mailing Address - Country:US
Mailing Address - Phone:201-683-9453
Mailing Address - Fax:201-683-5612
Practice Address - Street 1:2 SHERMAN POTTS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:GHENT
Practice Address - State:NY
Practice Address - Zip Code:12075-3216
Practice Address - Country:US
Practice Address - Phone:518-828-9500
Practice Address - Fax:518-828-9560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018005261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy