Organization
KATSKILL KIDS PT, SLP, OT, RN, PSYCHOLOGY & LMSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANNE COSTA PT, DPT (DIRECTOR)
(845) 985-7080
Entity
Organization
Contact information
Practice address
7922 STATE ROUTE 55, GRAHAMSVILLE, NY 12740-6409
(845) 985-7080
(845) 985-7070
Mailing address
101 KLOTHE DR, GRAHAMSVILLE, NY 12740-5805
(845) 985-7080
(845) 985-7070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
014573-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
014573-1
NY
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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