Provider Demographics
NPI:1235313008
Name:EUROPEAN PHYSICAL THERAPY P C
Entity Type:Organization
Organization Name:EUROPEAN PHYSICAL THERAPY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:KORO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, CAMT
Authorized Official - Phone:347-267-2881
Mailing Address - Street 1:2620 OCEAN PKWY
Mailing Address - Street 2:SUITE 5G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7748
Mailing Address - Country:US
Mailing Address - Phone:347-267-2881
Mailing Address - Fax:347-374-4496
Practice Address - Street 1:726 AVENUE Z
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-6322
Practice Address - Country:US
Practice Address - Phone:718-616-0026
Practice Address - Fax:347-374-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208100000X
NY018633261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100001026Medicare PIN