Provider Demographics
NPI:1114154101
Name:APEX PHYSICAL THERAPY AND REHAB. SERVICES
Entity Type:Organization
Organization Name:APEX PHYSICAL THERAPY AND REHAB. SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:MALFA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:808-391-0201
Mailing Address - Street 1:4107 42ND ST APT 4G
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-2769
Mailing Address - Country:US
Mailing Address - Phone:808-391-0201
Mailing Address - Fax:
Practice Address - Street 1:4107 42ND ST APT 4G
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-2769
Practice Address - Country:US
Practice Address - Phone:808-391-0201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty