Provider Demographics
NPI:1013549807
Name:TWENTYSEVENEASTPHYSIOTHERAPY PC
Entity Type:Organization
Organization Name:TWENTYSEVENEASTPHYSIOTHERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SINEAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZGIBBON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PHD
Authorized Official - Phone:631-484-5416
Mailing Address - Street 1:POB 2333
Mailing Address - Street 2:
Mailing Address - City:SAG HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11963
Mailing Address - Country:US
Mailing Address - Phone:631-919-5189
Mailing Address - Fax:
Practice Address - Street 1:34 BAY STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:SAG HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11963
Practice Address - Country:US
Practice Address - Phone:631-919-5189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty