Provider Demographics
NPI:1376687053
Name:KAST, ED III (MS, PT)
Entity Type:Individual
Prefix:
First Name:ED
Middle Name:
Last Name:KAST
Suffix:III
Gender:M
Credentials:MS, PT
Other - Prefix:
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Mailing Address - Street 1:4 WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-6800
Mailing Address - Country:US
Mailing Address - Phone:914-737-2739
Mailing Address - Fax:
Practice Address - Street 1:21 PEEKSKILL HOLLOW RD STE 201
Practice Address - Street 2:
Practice Address - City:PUTNAM VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10579-3254
Practice Address - Country:US
Practice Address - Phone:845-528-3133
Practice Address - Fax:845-528-0463
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY01137712251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic