Healthcare Provider Details

I. General information

NPI: 1295875714
Provider Name (Legal Business Name): SALIL KATHPALIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 01/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 GIDNEY AVE STE 5
NEWBURGH NY
12550-2805
US

IV. Provider business mailing address

15 FORTUNE RD W
MIDDLETOWN NY
10941-1625
US

V. Phone/Fax

Practice location:
  • Phone: 845-569-2900
  • Fax: 866-619-5710
Mailing address:
  • Phone: 845-692-4454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number154287-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: