Provider Demographics
NPI:1245511864
Name:HUDSON, RICARDO M JR (PT)
Entity type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:M
Last Name:HUDSON
Suffix:JR
Gender:M
Credentials:PT
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Mailing Address - Street 1:145 E 32ND ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6055
Mailing Address - Country:US
Mailing Address - Phone:212-427-3986
Mailing Address - Fax:212-996-5949
Practice Address - Street 1:145 E 32ND ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6055
Practice Address - Country:US
Practice Address - Phone:212-427-3986
Practice Address - Fax:212-996-5949
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2021-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYP81791225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist