| Organization Name: | HUDSON CARE PHYSICAL THERAPY PLLC |
| NPI Number: | 1881920874 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REAN JOHN DE LEON ENRIQUEZ (ORGANIZER/OWNER) |
| Mailing Address: | 2 Sherman Potts Dr Suite 202 Ghent |
| State: | NY US |
| Postal Code: | 120753216 |
| Phone Number: | 5188289500 |
| Fax Number: | 5188289560 |
| NPI Enumeration Date: | 10/26/2009 |
| NPI Last Update Date: | 10/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 018005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |