Beresheim, Lori Ann

Beresheim, Lori Ann is an individual health care provider with primary practice located at 250 Tuytenbridge Rd , Lake Katrine NY 12449-5429. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Beresheim, Lori Ann can be contacted via phone (845) 336-7235.

Contact Information

Primary practice address
250 Tuytenbridge Rd Lake Katrine NY 12449-5429
Phone: (845) 336-7235
Fax: (845) 336-4726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 000549-1 New York

Profile Details

NPI number 1245451236
LBN Legal business name Beresheim, Lori Ann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245451236 NPPES
New York MEDICAID 00473001

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