Provider Demographics
NPI:1598301723
Name:ABILITIES, OCCUPATIONAL THERAPY, PHYSICAL THERAPY SPEECH LANGUAGE PATH
Entity Type:Organization
Organization Name:ABILITIES, OCCUPATIONAL THERAPY, PHYSICAL THERAPY SPEECH LANGUAGE PATH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTSITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-325-2275
Mailing Address - Street 1:10 MOUNTAIN LEDGE
Mailing Address - Street 2:
Mailing Address - City:GANSEVOORT
Mailing Address - State:NY
Mailing Address - Zip Code:12831-2539
Mailing Address - Country:US
Mailing Address - Phone:518-306-1808
Mailing Address - Fax:518-887-8602
Practice Address - Street 1:10 MOUNTAIN LEDGE
Practice Address - Street 2:
Practice Address - City:GANSEVOORT
Practice Address - State:NY
Practice Address - Zip Code:12831-2539
Practice Address - Country:US
Practice Address - Phone:518-306-1808
Practice Address - Fax:518-887-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency