Provider Demographics
NPI:1093931826
Name:DRESCHER, TINA (PT)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:DRESCHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:DAWN
Other - Last Name:DRESCHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:31 E 32ND ST FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5595
Mailing Address - Country:US
Mailing Address - Phone:212-759-2282
Mailing Address - Fax:212-379-2133
Practice Address - Street 1:99 BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-1720
Practice Address - Country:US
Practice Address - Phone:914-295-9240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0118841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ1257Q2NM1Medicare PIN