Executive Park PT of Briarcliff LLC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Briarcliff, NY
NPI 1508102849 · NPPES record last updated Dec 13, 2012
Key facts
- NPI
- 1508102849
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 023806
- Legal business name
- EXECUTIVE PARK PT OF BRIARCLIFF LLC
- Practice address
- 565 N State Rd
Briarcliff, NY 10510-1523 - Phone
- (914) 263-3280
- NPI assigned
- Dec 13, 2012
- Organization subpart
- No
Authorized official
- Name
- Melisa Nieli
- Title
- Billing Manager
- Phone
- (914) 346-5175
National Provider Directory
Locations
565 N State Rd
Briarcliff, NY 10510
Phone (914) 263-3280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | 023806 | Yes |
Addresses
Primary practice location
565 N State Rd
Briarcliff, NY 10510-1523
Mailing address
1034 N Broadway
Yonkers, NY 10701-1328
Phone (914) 509-4640
Other providers in Briarcliff, NY
- Kristen Michelle Arita
- Jewel Barron Weiss
- Briarcliff Dental Care
- Deborah Sue Ross
- Rachel Erenberg
- Christine Gorglione
- Andrew Greenberg
- Ronald Ernest Hanover
- Marypat S Hughes
- J.R Physical Therapy and Performance, PLLC
All providers in Briarcliff, NY · Physical Medicine & Rehabilitation Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.