1073535175 NPI number — PREMIER PHYSICAL THERAPY AND WELLNESS OF KATONAH, PC

Table of content: (NPI 1073535175)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073535175 NPI number — PREMIER PHYSICAL THERAPY AND WELLNESS OF KATONAH, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREMIER PHYSICAL THERAPY AND WELLNESS OF KATONAH, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073535175
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1536 3RD AVE
Provider Second Line Business Mailing Address:
5TH FL.
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10028-2167
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-861-2630
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
575 WHITE PLAINS ROAD
Provider Second Line Business Practice Location Address:
LL
Provider Business Practice Location Address City Name:
EASTCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-771-6200
Provider Business Practice Location Address Fax Number:
914-771-6202
Provider Enumeration Date:
07/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NOLAN
Authorized Official First Name:
MARYANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
212-861-2630

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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