Provider Demographics
NPI:1033888482
Name:SWEETEN HEALTH PHYSICAL THERAPY REHABILITATION SERVICES PC
Entity Type:Organization
Organization Name:SWEETEN HEALTH PHYSICAL THERAPY REHABILITATION SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:NALIBOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:347-703-8106
Mailing Address - Street 1:2 LYDIA CT
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1113
Mailing Address - Country:US
Mailing Address - Phone:347-703-8106
Mailing Address - Fax:
Practice Address - Street 1:5444 LITTLE NECK PKWY APT 5T
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-2270
Practice Address - Country:US
Practice Address - Phone:347-703-8106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty