Provider Demographics
NPI:1639536824
Name:HUDSON VALLEY REHAB
Entity Type:Organization
Organization Name:HUDSON VALLEY REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-807-7462
Mailing Address - Street 1:168 PUCKY HUDDLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:NY
Mailing Address - Zip Code:12720-5207
Mailing Address - Country:US
Mailing Address - Phone:845-807-7462
Mailing Address - Fax:
Practice Address - Street 1:168 PUCKY HUDDLE RD
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:NY
Practice Address - Zip Code:12720-5207
Practice Address - Country:US
Practice Address - Phone:845-807-7462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty