Mikesh, Matthew

Mikesh, Matthew is an individual health care provider with primary practice located at 2 Victory Ct , Newburgh NY 12550-1745. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mikesh, Matthew can be contacted via phone (845) 565-1454.

Contact Information

Primary practice address
2 Victory Ct Newburgh NY 12550-1745
Phone: (845) 565-1454
Fax: (845) 565-9803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 020332-1 New York

Profile Details

NPI number 1548339229
LBN Legal business name Mikesh, Matthew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Oct 8th, 2013 - about 11 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 1548339229 NPPES
New York MEDICAID 01572430
New York Other Q5611CJ511

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