Basic Information
| Provider Information | |||||||||
| NPI: | 1083750467 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ELANT AT FISHKILL, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 46 HARRIMAN DR | ||||||||
| Address2: | |||||||||
| City: | GOSHEN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109242410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8452913700 | ||||||||
| FaxNumber: | 8452913833 | ||||||||
| Practice Location | |||||||||
| Address1: | 22 ROBERT R KASIN WAY | ||||||||
| Address2: | |||||||||
| City: | BEACON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 125081559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8452913700 | ||||||||
| FaxNumber: | 8452913833 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2007 | ||||||||
| LastUpdateDate: | 08/21/2008 | ||||||||
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| AuthorizedOfficialLastName: | WHITNEY | ||||||||
| AuthorizedOfficialFirstName: | TODD | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE VP, CEO | ||||||||
| AuthorizedOfficialTelephone: | 8452913713 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 1355300N | NY | Y | Agencies | Home Health |
No ID Information.