Comprehensive Ot, Pt, Slp & Adult Health NP Services, PLLC
Case Manager/Care Coordinator in Middletown, NY. Organization (NPI-2).
NPI number1134827363
StatusActive
Last updated in NPPESFeb 16, 2023
Details
- NPI
- 1134827363
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Ot, Pt, Slp & Adult Health NP Services, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2023
- Certification date
- Feb 16, 2023
- Last updated
- Feb 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – |
Practice location
8 Kensington WayMiddletown, NY 10940-2104
Phone 845-641-9413 · Fax 800-509-6099
Mailing address
8 Kensington WayMiddletown, NY 10940-2104
Phone 845-641-9413 · Fax 800-509-6099
Authorized official
Bergson Louis-Jacques
Ceo
8456419413
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