Healthcare Provider Details

I. General information

NPI: 1174960363
Provider Name (Legal Business Name): NEW YORK HAND & PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 MIDDLEBUSH RD SUITE 200
WAPPINGERS FALLS NY
12590-4098
US

IV. Provider business mailing address

66 MIDDLEBUSH RD SUITE 200
WAPPINGERS FALLS NY
12590-4098
US

V. Phone/Fax

Practice location:
  • Phone: 845-632-6775
  • Fax: 845-632-6777
Mailing address:
  • Phone: 845-632-6775
  • Fax: 845-632-6777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK N CLOUGH
Title or Position: OWNER
Credential: P.T.
Phone: 845-632-6775