Healthcare Provider Details

I. General information

NPI: 1578683264
Provider Name (Legal Business Name): CORTLANDT PHYSICAL THERAPY & REHABILITATION,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 E MAIN ST SUITE 22B
CORTLANDT MANOR NY
10567-2502
US

IV. Provider business mailing address

2050 E MAIN ST SUITE 22B
CORTLANDT MANOR NY
10567-2502
US

V. Phone/Fax

Practice location:
  • Phone: 914-736-9502
  • Fax: 914-736-0749
Mailing address:
  • Phone: 914-736-9502
  • Fax: 914-736-0749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number020368
License Number StateNY

VIII. Authorized Official

Name: MR. ALBERT F GALOTTI
Title or Position: PART OWNER
Credential: P.T.
Phone: 914-736-9502