Basic Information
| Provider Information | |||||||||
| NPI: | 1679855688 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CYNERGY EAST PHYSICAL THEARAPY, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 160 E 93RD ST | ||||||||
| Address2: | GROUND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 101283711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129747252 | ||||||||
| FaxNumber: | 2129747228 | ||||||||
| Practice Location | |||||||||
| Address1: | 160 E 93RD ST | ||||||||
| Address2: | GROUND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 101283711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129747252 | ||||||||
| FaxNumber: | 2129747228 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2011 | ||||||||
| LastUpdateDate: | 11/30/2011 | ||||||||
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| AuthorizedOfficialLastName: | BERMAN | ||||||||
| AuthorizedOfficialFirstName: | LYNN | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2129747252 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | P.T. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 032302 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.