Healthcare Provider Details

I. General information

NPI: 1639952195
Provider Name (Legal Business Name): CALEIGH GREY CAHOON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 STATE ROUTE 17M
MONROE NY
10950-2623
US

IV. Provider business mailing address

9 ARCADIA CT
SLOATSBURG NY
10974-2633
US

V. Phone/Fax

Practice location:
  • Phone: 845-738-7371
  • Fax:
Mailing address:
  • Phone: 845-304-2248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number051188
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: