Provider Demographics
NPI:1992004253
Name:FALLSBURG QUALITY THERAPY, CORP.
Entity Type:Organization
Organization Name:FALLSBURG QUALITY THERAPY, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHOSHANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMSKY-ALTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA SLP
Authorized Official - Phone:845-434-4368
Mailing Address - Street 1:76 ESTATE DR
Mailing Address - Street 2:
Mailing Address - City:FALLSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12733-5040
Mailing Address - Country:US
Mailing Address - Phone:845-434-4368
Mailing Address - Fax:
Practice Address - Street 1:76 ESTATE DR
Practice Address - Street 2:
Practice Address - City:FALLSBURG
Practice Address - State:NY
Practice Address - Zip Code:12733-5040
Practice Address - Country:US
Practice Address - Phone:845-434-4368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020781251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health