Provider Demographics
NPI:1073832168
Name:TOP CARE PHYSICAL THERAPY & REHABILITATION, P.C.
Entity Type:Organization
Organization Name:TOP CARE PHYSICAL THERAPY & REHABILITATION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPACZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:347-335-0479
Mailing Address - Street 1:6605 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-7049
Mailing Address - Country:US
Mailing Address - Phone:347-335-0479
Mailing Address - Fax:347-335-0497
Practice Address - Street 1:6605 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7049
Practice Address - Country:US
Practice Address - Phone:347-335-0479
Practice Address - Fax:347-335-0497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030535-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty