Provider Demographics
NPI:1033453485
Name:HUDSON CHIROPRACTIC & PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:HUDSON CHIROPRACTIC & PHYSICAL THERAPY, PLLC
Other - Org Name:HUDSON HEALTH & SPINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:TACCETTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-714-8452
Mailing Address - Street 1:18 THIELLS MOUNT IVY RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3020
Mailing Address - Country:US
Mailing Address - Phone:845-459-6304
Mailing Address - Fax:845-459-6305
Practice Address - Street 1:18 THIELLS MOUNT IVY RD
Practice Address - Street 2:SUITE 7
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3020
Practice Address - Country:US
Practice Address - Phone:845-459-6304
Practice Address - Fax:845-459-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-23
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011486111NN1001X
NY0285632251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty