Organization
ORD PHYSIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENE THORNTON (PRACTICE MANAGER)
(845) 521-1542
Entity
Organization
Contact information
Practice address
1 COMMONS DR, LAKE KATRINE, NY 12449-5149
(845) 521-1542
Mailing address
983 HAVERSTRAW RD, SUFFERN, NY 10901-2200
(845) 521-1542
(845) 354-4808
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
148797
NY
Other
Enumeration date
06/17/2009
Last updated
01/25/2024
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