| Organization Name: | NORTHERN WESTCHESTER AND PUTNAM PHYSICAL THERAPY |
| NPI Number: | 1225171101 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARYANN C. RUSSO (DIRECT OWNER) |
| Mailing Address: | 21 Peekskill Hollow Rd Ste 201 Putnam Valley |
| State: | NY US |
| Postal Code: | 105793254 |
| Phone Number: | 8455283133 |
| Fax Number: | 8455280463 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 012536-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |