Provider Demographics
NPI:1225274434
Name:CHANA VOLOVIK PT PC
Entity Type:Organization
Organization Name:CHANA VOLOVIK PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLOVIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-986-0174
Mailing Address - Street 1:606 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-3130
Mailing Address - Country:US
Mailing Address - Phone:718-986-0174
Mailing Address - Fax:
Practice Address - Street 1:606 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3130
Practice Address - Country:US
Practice Address - Phone:718-986-0174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023815225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty