Healthcare Provider Details

I. General information

NPI: 1245209238
Provider Name (Legal Business Name): MELVIN CAVE PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 10/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 E MAIN ST SUITE 3
MOUNT KISCO NY
10549-3423
US

IV. Provider business mailing address

664 STONELEIGH AVE SUITE 300
CARMEL NY
10512-3940
US

V. Phone/Fax

Practice location:
  • Phone: 914-666-5550
  • Fax: 914-241-4206
Mailing address:
  • Phone: 845-278-8400
  • Fax: 845-278-4326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number008046-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: