| Organization Name: | HUDSON PAIN AND REHAB LLC |
| NPI Number: | 1316246051 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUADA AMIN NOOR (OFFICE MANGER) |
| Mailing Address: | 711 Kearny Ave Kearny |
| State: | NJ US |
| Postal Code: | 070323003 |
| Phone Number: | 3015205151 |
| Fax Number: | 3013229696 |
| NPI Enumeration Date: | 03/21/2011 |
| NPI Last Update Date: | 03/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 216682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |