# HUDSON REHABILIATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598910499
- **Authorized official:** DR. ANSAR SHARIF M.D. (PRESIDENT)
- **Authorized official phone:** (888) 214-9212

## Contact information

- **Practice address:** 711 KEARNY AVE, KEARNY, NJ 07032-3003
- **Practice address phone:** (888) 214-9212
- **Practice address fax:** (888) 214-9212
- **Mailing address:** 711 KEARNY AVE, KEARNY, NJ 07032-3003
- **Mailing address phone:** (888) 214-9212
- **Mailing address fax:** (888) 214-9212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07313100 | NJ | — |
| 207R00000X | Internal Medicine Physician | 25MA07696500 | NJ | Yes |
| 225100000X | Physical Therapist | 40QA01158200 | NJ | — |

## Other

- **Enumeration date:** 11/20/2008
- **Last updated:** 11/20/2008