Basic Information
| Provider Information | |||||||||
| NPI: | 1598914285 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 569 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | BAY SHORE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117068505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6316658645 | ||||||||
| FaxNumber: | 6316658646 | ||||||||
| Practice Location | |||||||||
| Address1: | 2100 BARTOW AVE | ||||||||
| Address2: | SUITE 208 | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104754614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183790977 | ||||||||
| FaxNumber: | 7183790988 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2008 | ||||||||
| LastUpdateDate: | 05/07/2009 | ||||||||
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| AuthorizedOfficialLastName: | MERITZ | ||||||||
| AuthorizedOfficialFirstName: | LIZ | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING AND COLLECTION MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6316658645 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.