Provider Demographics
NPI:1699711374
Name:PALISADES REHABILITATION MEDICINE, P.C.
Entity type:Organization
Organization Name:PALISADES REHABILITATION MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-863-1000
Mailing Address - Street 1:14 DOESCHER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2631
Mailing Address - Country:US
Mailing Address - Phone:845-348-3290
Mailing Address - Fax:845-348-3291
Practice Address - Street 1:320 ROBINSON AVE
Practice Address - Street 2:2ND FLLOR
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3353
Practice Address - Country:US
Practice Address - Phone:845-863-1000
Practice Address - Fax:845-863-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2146672081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty