Provider Demographics
NPI:1225180888
Name:JOHN TAROS & ALLEN BISTRONG PTR
Entity Type:Organization
Organization Name:JOHN TAROS & ALLEN BISTRONG PTR
Other - Org Name:BROOKLYN HEIGHTS PHYSICAL THERAPY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:BISTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-875-3167
Mailing Address - Street 1:142 JORALEMON STREET
Mailing Address - Street 2:SUITE 11A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4709
Mailing Address - Country:US
Mailing Address - Phone:718-875-3167
Mailing Address - Fax:718-834-0242
Practice Address - Street 1:142 JORALEMON STREET
Practice Address - Street 2:SUITE 11A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4709
Practice Address - Country:US
Practice Address - Phone:718-875-3167
Practice Address - Fax:718-834-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty