Executive Park PT of Briarcliff LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 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

Last updated

Dec 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melisa Nieli

Title

Billing Manager

Phone

(914) 346-5175

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1508102849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011328",
            "telephone_number": "914-509-4640",
            "fax_number": "914-509-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 N STATE RD",
            "city": "BRIARCLIFF",
            "state": "NY",
            "postal_code": "105101523",
            "telephone_number": "914-263-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE PARK PT OF BRIARCLIFF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "NIELI",
        "authorized_official_first_name": "MELISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "914-346-5175"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": "023806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Michelle Arita
• Jewel Barron Weiss, DDS
• Briarcliff Dental Care
• Deborah Sue Ross
• Rachel Erenberg, LCSW
• Christine Gorglione, MS, CCC-SLP
• Andrew Greenberg, DDS
• Raquel Hallinan, M.S., CCC-SLP
• Ronald Ernest Hanover, PSYCHOLOGIST PH.D
• Marypat S Hughes, MS RD CDN

• Physical Medicine & Rehabilitation Physician in Briarcliff, NY
• Providers in Briarcliff, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.