Healthcare Provider Details

I. General information

NPI: 1548635576
Provider Name (Legal Business Name): MELISSA RENEE CIOFFI P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2015
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 WEBER HILL RD
CARMEL NY
10512-3704
US

IV. Provider business mailing address

159 WEBER HILL RD
CARMEL NY
10512-3704
US

V. Phone/Fax

Practice location:
  • Phone: 845-253-1175
  • Fax: 845-231-6749
Mailing address:
  • Phone: 845-253-1175
  • Fax: 845-231-6749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number011320
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number039612
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: