Organization
PEAK PHYSICAL THERAPY ,WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ROSSILLO P.T., CHT (DIRECTOR)
(845) 344-0168
Entity
Organization
Contact information
Practice address
726 E MAIN ST, SUITE 101, MIDDLETOWN, NY 10940-2653
(845) 344-0168
(845) 341-0472
Mailing address
726 E MAIN ST, SUITE 101, MIDDLETOWN, NY 10940-2653
(845) 344-0168
(845) 341-0472
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
012916-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01572430
—
NY
Enumeration date
09/06/2006
Last updated
08/22/2020
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