Provider Demographics
NPI:1346701752
Name:KIRSTEN CESPED, PT, PLLC
Entity Type:Organization
Organization Name:KIRSTEN CESPED, PT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CESPED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-671-0207
Mailing Address - Street 1:5 SUPERIOR RD
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11001-4123
Mailing Address - Country:US
Mailing Address - Phone:212-671-0207
Mailing Address - Fax:347-767-2359
Practice Address - Street 1:443 PARK AVE S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7322
Practice Address - Country:US
Practice Address - Phone:212-671-0207
Practice Address - Fax:347-767-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty