Provider Demographics
NPI:1710158258
Name:WESTON PAXXON PT, OT & SLP, PLLC
Entity Type:Organization
Organization Name:WESTON PAXXON PT, OT & SLP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLANDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-991-2034
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:
Practice Address - Street 1:27 WOODVALE RD
Practice Address - Street 2:THE LANDING @ QUEENSBURY
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-1785
Practice Address - Country:US
Practice Address - Phone:518-793-5556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0814Medicare PIN