Provider Demographics
NPI:1851763338
Name:BELA A GESZTESI III PT PLLC
Entity Type:Organization
Organization Name:BELA A GESZTESI III PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GESZTESI
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:845-692-3224
Mailing Address - Street 1:633 ROUTE 211 E
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1780
Mailing Address - Country:US
Mailing Address - Phone:845-692-3224
Mailing Address - Fax:
Practice Address - Street 1:633 ROUTE 211 E
Practice Address - Street 2:STE 2
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1780
Practice Address - Country:US
Practice Address - Phone:845-692-3224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017937261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy