# C.M. MELCHER PT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104052596
- **Authorized official:** MRS. CARMEN MARIA MELCHER PT (OWNER)
- **Authorized official phone:** (845) 364-4282

## Contact information

- **Practice address:** 42 COLONIAL DR, POUGHKEEPSIE, NY 12603-3770
- **Practice address phone:** (845) 364-4282
- **Practice address fax:** (845) 364-4282
- **Mailing address:** 42 COLONIAL DR, POUGHKEEPSIE, NY 12603-3770
- **Mailing address phone:** (845) 364-4282
- **Mailing address fax:** (845) 364-4282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 007743-1 | NY | Yes |

## Other

- **Enumeration date:** 05/31/2009
- **Last updated:** 05/31/2009