Provider Demographics
NPI:1487871638
Name:GIACALONE, SARAH B (OTR/L, CHT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:B
Last Name:GIACALONE
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 WESTAGE BUSINESS CTR DR STE 107
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2231
Mailing Address - Country:US
Mailing Address - Phone:845-305-9155
Mailing Address - Fax:
Practice Address - Street 1:400 WESTAGE BUSINESS CTR DR STE 107
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2231
Practice Address - Country:US
Practice Address - Phone:845-305-9155
Practice Address - Fax:845-682-1988
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003386225X00000X
NH1615225X00000X
NY018616225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400114012Medicare UPIN