Healthcare Provider Details

I. General information

NPI: 1902185028
Provider Name (Legal Business Name): AMY L HESS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2011
Last Update Date: 08/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODLAND POND CIR
NEW PALTZ NY
12561-6405
US

IV. Provider business mailing address

100 WOODLAND POND CIR
NEW PALTZ NY
12561-6405
US

V. Phone/Fax

Practice location:
  • Phone: 845-256-5600
  • Fax: 845-256-5776
Mailing address:
  • Phone: 845-256-5600
  • Fax: 845-256-5776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number014241
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License Number014241
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: