Basic Information
| Provider Information | |||||||||
| NPI: | 1104474204 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARCIA | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | VINCENT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PT, DPT, ATC/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 36 W 44TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100368102 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 36 W 44TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100368102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127592280 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/01/2019 | ||||||||
| LastUpdateDate: | 09/01/2019 | ||||||||
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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 | 225100000X | 044512 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.