Healthcare Provider Details

I. General information

NPI: 1275908147
Provider Name (Legal Business Name): DUTCHESS PHYSICAL THERAPY WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2015
Last Update Date: 12/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 E MAIN ST
CORTLANDT MANOR NY
10567-2502
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 845-592-4747
  • Fax:
Mailing address:
  • Phone: 845-636-4344
  • Fax: 845-636-4355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

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