Healthcare Provider Details

I. General information

NPI: 1740676329
Provider Name (Legal Business Name): ACCESS REHABILITATION SERVICES PT, OT & SLP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2015
Last Update Date: 04/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MAYBROOK RD SUITE H
CAMPBELL HALL NY
10916-2743
US

IV. Provider business mailing address

16 MAYBROOK RD SUITE H
CAMPBELL HALL NY
10916-2743
US

V. Phone/Fax

Practice location:
  • Phone: 845-636-4344
  • Fax: 845-636-4355
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER ALBANESE
Title or Position: OWNER
Credential:
Phone: 845-636-4344