Healthcare Provider Details

I. General information

NPI: 1114641982
Provider Name (Legal Business Name): CENTER FOR DISABILITIES INNOVATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

872 ROUTE 376
WAPPINGERS FALLS NY
12590-6464
US

IV. Provider business mailing address

872 ROUTE 376
WAPPINGERS FALLS NY
12590-6497
US

V. Phone/Fax

Practice location:
  • Phone: 845-592-4972
  • Fax:
Mailing address:
  • Phone: 866-992-7702
  • Fax: 845-713-0434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. MATHIAS O ONI-ESELEH
Title or Position: PRESIDENT
Credential: DBA
Phone: 845-592-4972