Provider Demographics
NPI:1295372456
Name:ORLANDO, VINCENT JR (PT)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:
Last Name:ORLANDO
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MARIAN AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5041
Mailing Address - Country:US
Mailing Address - Phone:845-453-2321
Mailing Address - Fax:
Practice Address - Street 1:325 ROUTE 100 STE 106
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3227
Practice Address - Country:US
Practice Address - Phone:914-597-2890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016399225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist