Provider Demographics
NPI:1184915464
Name:HUDSON VALLEY PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:HUDSON VALLEY PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-357-3322
Mailing Address - Street 1:280 N CENTRAL AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1840
Mailing Address - Country:US
Mailing Address - Phone:914-831-9575
Mailing Address - Fax:855-936-3254
Practice Address - Street 1:280 N CENTRAL AVE STE 115
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1840
Practice Address - Country:US
Practice Address - Phone:914-831-9575
Practice Address - Fax:855-936-3254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010252-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy