Organization
COUNTY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY HENRY (PHYSICAL THERAPIST)
(845) 256-0820
Entity
Organization
Contact information
Practice address
83 N CHESTNUT ST, SUITE 1, NEW PALTZ, NY 12561-1408
(845) 256-0820
(845) 256-9028
Mailing address
83 N. CHESTNUT ST, SUITE 1, NEW PALTZ, NY 12561
(845) 256-0820
(845) 256-9028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38096
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030500
HEALTHNET
—
05
—
02-075-390
—
NY
01
—
10032239
CDPHP
—
01
—
126306
WELLCARE
—
01
—
130308
MPN
—
01
—
222976633
UNITED HEALTH PLAN
—
01
—
29333
GHI HMO
—
01
—
2C3846
PHS
—
01
—
43648
MVP
—
01
—
528582
AETNA US HEALTHCARE
—
01
—
6602574
GHI
—
01
—
ANC1566
OXFORD
—
01
—
Q31921
EMPIRE BLUE CROSS BLUE SH
—
Enumeration date
12/21/2006
Last updated
02/19/2014
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