Basic Information
Provider Information
NPI: 1417234501
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZALESNY
FirstName: FRANK
MiddleName: PETER
NamePrefix: DR.
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 664 STONELEIGH AVE
Address2: SUITE 300
City: CARMEL
State: NY
PostalCode: 105123940
CountryCode: US
TelephoneNumber: 8452788400
FaxNumber: 8452784326
Practice Location
Address1: 49 FOSTER RD
Address2: SUITE D
City: HOPEWELL JUNCTION
State: NY
PostalCode: 125336123
CountryCode: US
TelephoneNumber: 8452272228
FaxNumber: 8452272229
Other Information
ProviderEnumerationDate: 11/03/2011
LastUpdateDate: 10/22/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X033969-1NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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