Provider Demographics
NPI:1053486746
Name:NADLER, ALBERT SR (PT)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:NADLER
Suffix:SR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 FIFTH AVE
Mailing Address - Street 2:SUITE 1A ALBERT NADLER MA PT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:211-288-5411
Mailing Address - Fax:718-544-1306
Practice Address - Street 1:880 FIFTH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:211-288-5411
Practice Address - Fax:718-544-1306
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1366225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ00741Medicare ID - Type Unspecified