Organization
HUDSON THERAPY, LLC
Active
Other names
Therapro, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER JASON MALKIN (CEO)
(917) 815-2299
Entity
Organization
Contact information
Practice address
600 PAVONIA AVE, 7TH FLOOR, JERSEY CITY, NJ 07306-2929
(201) 418-0088
(201) 418-9420
Mailing address
600 PAVONIA AVE, 7TH FLOOR, JERSEY CITY, NJ 07306-2929
(201) 418-0088
(201) 418-9420
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
063647
NJ
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
22936
NJ
Other
Enumeration date
10/27/2006
Last updated
01/15/2008
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