Provider Demographics
NPI:1881907780
Name:PREMIER CARE PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:PREMIER CARE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PARLAPIANO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:845-794-1509
Mailing Address - Street 1:412 DINGLE DAISY RD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-4744
Mailing Address - Country:US
Mailing Address - Phone:845-794-1509
Mailing Address - Fax:845-794-1509
Practice Address - Street 1:55 STURGIS RD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701
Practice Address - Country:US
Practice Address - Phone:845-794-1509
Practice Address - Fax:845-794-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024600-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy