PHYSICAL MEDICINE & DIAGNOSTIC TESTING PC NPI 1598041428

NPI Information

  • NPI: 1598041428
  • Provider Name: PHYSICAL MEDICINE & DIAGNOSTIC TESTING PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 54 DOLSON AVE
    MIDDLETOWN, NY
    ZIP 10940
  • Phone: (845) 342-1247

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NPI Details

PHYSICAL MEDICINE & DIAGNOSTIC TESTING PC is a specialist in Middletown, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PHYSICAL MEDICINE & DIAGNOSTIC TESTING PC NPI is 1598041428. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

54 DOLSON AVE
MIDDLETOWN, NY
ZIP 10940-424
Phone: (845) 342-1247
Fax: (845) 342-1397

The provider's authorized official is Clifton Daniel Burt .
The authorized official title is Owner and has the following contact phone number (845) 342-0746.

The enumeration date for this NPI number is 10/24/2011 and was last updated on 10/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist251765NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11588843163OTHERNEW YORKNPI
22517654WOTHERNEW YORKWORKERS COMPENSATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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