Individual
CARSON JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E 42ND ST RM 1504, NEW YORK, NY 10017-8541
(212) 354-2622
(212) 354-2752
Mailing address
409 FULTON ST FL 2, BROOKLYN, NY 11201-5103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045207
NY
Other
Enumeration date
11/18/2019
Last updated
04/06/2021
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