Provider Demographics
NPI:1649561531
Name:PASLOW, AUDREY (DPT)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:PASLOW
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AUDREY
Other - Middle Name:
Other - Last Name:HUMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 HENDRIK HUDSON WAY
Mailing Address - Street 2:
Mailing Address - City:HALFMOON
Mailing Address - State:NY
Mailing Address - Zip Code:12065-2672
Mailing Address - Country:US
Mailing Address - Phone:518-429-3240
Mailing Address - Fax:518-240-3191
Practice Address - Street 1:4 HENDRIK HUDSON WAY
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-2672
Practice Address - Country:US
Practice Address - Phone:518-429-3240
Practice Address - Fax:518-240-3191
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033319-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist