Provider Demographics
NPI:1164004545
Name:NEUROLOGICAL PHYSICAL THERAPY OF NYC, PLLC
Entity Type:Organization
Organization Name:NEUROLOGICAL PHYSICAL THERAPY OF NYC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:ELYSE
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, NCS
Authorized Official - Phone:516-857-7771
Mailing Address - Street 1:618 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6833
Mailing Address - Country:US
Mailing Address - Phone:516-857-7771
Mailing Address - Fax:347-521-1723
Practice Address - Street 1:618 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-6833
Practice Address - Country:US
Practice Address - Phone:516-857-7771
Practice Address - Fax:347-521-1723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-25
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy