1699886416 NPI number — MEREDITH ANN CAHALAN P.T., D.P.T.

Table of content: MEREDITH ANN CAHALAN P.T., D.P.T. (NPI 1699886416)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699886416 NPI number — MEREDITH ANN CAHALAN P.T., D.P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAHALAN
Provider First Name:
MEREDITH
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.T., D.P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCHALE
Provider Other First Name:
MEREDITH
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1699886416
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
333 EARLE OVINGTON BLVD
Provider Second Line Business Mailing Address:
SUITE 225
Provider Business Mailing Address City Name:
UNIONDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11553-3610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-321-2400
Provider Business Mailing Address Fax Number:
516-321-2401

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1250 WATERS PL
Provider Second Line Business Practice Location Address:
SUITE 1205
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10461-2720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-810-7777
Provider Business Practice Location Address Fax Number:
347-810-9192
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  62 028770 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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