Provider Demographics
NPI:1629564836
Name:HUDSON, CUYLER HOUGHAM (DPT)
Entity Type:Individual
Prefix:
First Name:CUYLER
Middle Name:HOUGHAM
Last Name:HUDSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:CUYLER
Other - Middle Name:HOUGHAM
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:885 10TH AVE APT 2F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1083
Mailing Address - Country:US
Mailing Address - Phone:509-741-7720
Mailing Address - Fax:
Practice Address - Street 1:117 W 72ND ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3204
Practice Address - Country:US
Practice Address - Phone:509-741-7720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-11
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0430812251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist