Provider Demographics
NPI:1033587340
Name:BIHANSKY, ROMAN JERRY JR (PTA)
Entity Type:Individual
Prefix:MR
First Name:ROMAN
Middle Name:JERRY
Last Name:BIHANSKY
Suffix:JR
Gender:M
Credentials:PTA
Other - Prefix:MR
Other - First Name:ROMAN
Other - Middle Name:JERRY
Other - Last Name:BIHANSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PTA
Mailing Address - Street 1:534 E 84TH ST
Mailing Address - Street 2:APT 3E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7334
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:534 E 84TH ST
Practice Address - Street 2:APT 3E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-7334
Practice Address - Country:US
Practice Address - Phone:718-250-8142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant