MEDICARE: HTA OF NEW YORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1033361357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HTA OF NEW YORK

Provider Business Mailing Address
First Line	:	1053 SAW MILL RIVER RD
Second Line	:	SUITE 101
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1048
Country	:	US
Telephone Number	:	914-674-0733
Fax Number	:	914-674-0285

Provider Business Practice Location Address
First Line	:	1053 SAW MILL RIVER RD
Second Line	:	SUITE 101
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1048
Country	:	US
Telephone Number	:	914-674-0733
Fax Number	:	914-674-0285

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	KAREN CHERNEY ZALTZ
Credential	:
Telephone Number	:	914-674-0733

Provider Enumeration Date	:	10/17/2008
Last Update Date	:	10/17/2008

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Directions to “HTA OF NEW YORK ” Practice Location

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