Provider Demographics
NPI:1669768602
Name:NEW SCOTLAND PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:NEW SCOTLAND PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOLLIE
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:DAMBROCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:518-221-6791
Mailing Address - Street 1:51 SIMMIE LN
Mailing Address - Street 2:
Mailing Address - City:VOORHEESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12186-4853
Mailing Address - Country:US
Mailing Address - Phone:518-221-6791
Mailing Address - Fax:
Practice Address - Street 1:1969 NEW SCOTLAND RD
Practice Address - Street 2:#8
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-3653
Practice Address - Country:US
Practice Address - Phone:518-221-6791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024641-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy