Provider Demographics
NPI:1114046943
Name:PADIAL, ALYSSA RUTCHIK (PT)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:RUTCHIK
Last Name:PADIAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:450 E 63RD ST
Mailing Address - Street 2:APT 7N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-7928
Mailing Address - Country:US
Mailing Address - Phone:212-355-6867
Mailing Address - Fax:212-746-8900
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:18TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-1535
Practice Address - Fax:212-746-8900
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY016213-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic