Provider Demographics
NPI:1285178814
Name:MANUAL APPROACH PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:MANUAL APPROACH PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:
Authorized Official - Last Name:NASEF
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-609-7887
Mailing Address - Street 1:5 RUBENSTEIN ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2907
Mailing Address - Country:US
Mailing Address - Phone:917-473-7240
Mailing Address - Fax:917-473-7243
Practice Address - Street 1:332 E 149TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5606
Practice Address - Country:US
Practice Address - Phone:917-473-7240
Practice Address - Fax:917-473-7240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018447261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY018447OtherLICENSE