Provider Demographics
NPI:1154687036
Name:LENOX HILL MASSAGE AND PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:LENOX HILL MASSAGE AND PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YEVGENIY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAZONOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-207-1529
Mailing Address - Street 1:261 E 78TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1216
Mailing Address - Country:US
Mailing Address - Phone:212-650-1620
Mailing Address - Fax:212-650-1689
Practice Address - Street 1:261 E 78TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1216
Practice Address - Country:US
Practice Address - Phone:212-650-1620
Practice Address - Fax:212-650-1689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty