Provider Demographics
NPI:1700021540
Name:ADELMAN, CAROL BETSY (PT)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:BETSY
Last Name:ADELMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 FOLTIM WAY
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-1424
Mailing Address - Country:US
Mailing Address - Phone:845-300-1357
Mailing Address - Fax:845-268-6859
Practice Address - Street 1:128 FOLTIM WAY
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920
Practice Address - Country:US
Practice Address - Phone:845-300-1357
Practice Address - Fax:845-268-6859
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003922-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics