| Organization Name: | HUDSON CHIROPRACTIC & PHYSICAL THERAPY, PLLC |
| NPI Number: | 1033453485 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH ANTHONY TACCETTA (MEMBER) |
| Mailing Address: | 18 Thiells Mount Ivy Rd Suite 7 Pomona |
| State: | NY US |
| Postal Code: | 109703020 |
| Phone Number: | 8454596304 |
| Fax Number: | 8454596305 |
| NPI Enumeration Date: | 11/23/2012 |
| NPI Last Update Date: | 11/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 028563 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |