Basic Information
| Provider Information | |||||||||
| NPI: | 1336204452 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SLEEPY HOLLOW PHYSICAL THERAPY LLP | ||||||||
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| OtherOrganizationName: | GREATER YONKERS PHYSICAL THERAPY | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24 SAW MILL RIVER RD | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | HAWTHORNE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105321541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146316969 | ||||||||
| FaxNumber: | 9146310943 | ||||||||
| Practice Location | |||||||||
| Address1: | 24 SAW MILL RIVER RD | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | HAWTHORNE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105321541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146316969 | ||||||||
| FaxNumber: | 9146310943 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2006 | ||||||||
| LastUpdateDate: | 07/23/2015 | ||||||||
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| AuthorizedOfficialLastName: | GIORDANO | ||||||||
| AuthorizedOfficialFirstName: | RICHARD | ||||||||
| AuthorizedOfficialMiddleName: | THOMAS | ||||||||
| AuthorizedOfficialTitleorPosition: | GENERAL PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 9146316969 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 003220-1 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.