# MAD PA SERVICES, INC

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

## Provider details

- **NPI number:** 1194029900
- **Authorized official:** MR. JOSHUA FALTO P.A. (C.O.O.)
- **Authorized official phone:** (646) 825-1040

## Contact information

- **Practice address:** 60 WILLIAMS AVE, SPRING VALLEY, NY 10977-3008
- **Practice address phone:** (845) 352-0301
- **Mailing address:** 60 WILLIAMS AVE, SPRING VALLEY, NY 10977-3008
- **Mailing address phone:** (845) 352-0301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 008674 | NY | Yes |

## Other

- **Enumeration date:** 01/08/2011
- **Last updated:** 03/11/2011