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Organization
PALISADES PHYSICAL THERAPY PLLC
Active
Organization
PALISADES PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND P KALOTKIN DPT (PHYSICAL THERAPIST)
(845) 359-3950
Entity
Organization
Contact information
Practice address
1 SCOTTI AVE, PALISADES, NY 10964-1319
(845) 359-3950
(845) 359-3950
Mailing address
1 SCOTTI AVE, PALISADES, NY 10964-1319
(845) 359-3950
(845) 359-3950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24559
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300150
US FAMILY HEALTH PLAN
—
01
—
120-7330
AETNA HMO
—
01
—
238-4959
UNITED HEALTH CARE
—
01
—
740-4779
AETNA PPO
—
01
—
Q30N31
EMPIRE BLUE CROSS BLUE SHIELD
—
01
—
SEIU-133-207
1199 SEIU
—
Enumeration date
03/26/2007
Last updated
05/29/2008
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