Provider Demographics
NPI:1346491032
Name:HEALTH & WELL BEING PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:HEALTH & WELL BEING PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MERCOGLIANO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-991-5891
Mailing Address - Street 1:240 - 96 STREET
Mailing Address - Street 2:APARTMENT 1B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209
Mailing Address - Country:US
Mailing Address - Phone:917-991-5891
Mailing Address - Fax:718-833-9057
Practice Address - Street 1:8617 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5185
Practice Address - Country:US
Practice Address - Phone:917-991-5891
Practice Address - Fax:718-833-9057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy