Provider Demographics
NPI:1245584838
Name:GITTY'S PHYSICAL THERAPY
Entity Type:Organization
Organization Name:GITTY'S PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GITTEL
Authorized Official - Middle Name:I
Authorized Official - Last Name:REISS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:845-352-8718
Mailing Address - Street 1:38 NEW POMONA RD
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-1817
Mailing Address - Country:US
Mailing Address - Phone:845-352-8718
Mailing Address - Fax:
Practice Address - Street 1:38 NEW POMONA RD
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-1817
Practice Address - Country:US
Practice Address - Phone:845-352-8718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-04
Last Update Date:2012-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027852-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency