Basic Information
| Provider Information | |||||||||
| NPI: | 1295875714 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KATHPALIA | ||||||||
| FirstName: | SALIL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 FORTUNE RD W | ||||||||
| Address2: | |||||||||
| City: | MIDDLETOWN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109411625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456924454 | ||||||||
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| Practice Location | |||||||||
| Address1: | 633 GIDNEY AVE | ||||||||
| Address2: | STE 5 | ||||||||
| City: | NEWBURGH | ||||||||
| State: | NY | ||||||||
| PostalCode: | 125502805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8455692900 | ||||||||
| FaxNumber: | 8666195710 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2007 | ||||||||
| LastUpdateDate: | 01/11/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 154287-1 | NY | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.