Healthcare Provider Details
I. General information
NPI: 1407128192
Provider Name (Legal Business Name): FISHKILL PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2012
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2531 ROUTE 52
HOPEWELL JUNCTION NY
12533-3227
US
IV. Provider business mailing address
2531 ROUTE 52
HOPEWELL JUNCTION NY
12533-3227
US
V. Phone/Fax
- Phone: 845-592-4747
- Fax:
- Phone: 845-592-4747
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name: PROF.
JOSEPH
A
RIFINO
Title or Position: PHYSICAL THERAPIST
Credential: P.T.
Phone: 845-592-4747