| Doctor Name: | MARIE D PROKOPCHAK |
| NPI Number: | 1578704425 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 009324-1 |
| Business Practice Address: | 379 Mt Hope Rd Middletown, NY - 109407135 |
| Business Phone Number: | 8453442292 |
| Business Fax Number: | |
| Mailing Address: | 44 Fox Hill Dr, MIDDLETOWN |
| State: | NY |
| Postal Code: | 109408464 |
| Phone Number: | 8453557767 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2009 |
| NPI Last Update Date: | 03/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 009324-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |