Provider Demographics
NPI:1093492787
Name:TZ PHYSICAL THERAPY SERVICES PLLC
Entity Type:Organization
Organization Name:TZ PHYSICAL THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TRISTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIDE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, GCS
Authorized Official - Phone:516-476-4928
Mailing Address - Street 1:78 MARY ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3212
Mailing Address - Country:US
Mailing Address - Phone:516-476-4928
Mailing Address - Fax:
Practice Address - Street 1:78 MARY ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3212
Practice Address - Country:US
Practice Address - Phone:516-476-4928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty