Provider Demographics
NPI:1073075511
Name:DL AND AP PHYSICAL THERAPY AND CHIROPRACTIC
Entity Type:Organization
Organization Name:DL AND AP PHYSICAL THERAPY AND CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO/PT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:516-457-7860
Mailing Address - Street 1:113 W 78TH ST FRNT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6755
Mailing Address - Country:US
Mailing Address - Phone:212-579-2858
Mailing Address - Fax:212-579-2853
Practice Address - Street 1:113 W 78TH ST FRNT 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6755
Practice Address - Country:US
Practice Address - Phone:212-579-2858
Practice Address - Fax:212-579-2853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty