Provider Demographics
NPI:1407339252
Name:SEBASTIAN, STEPHY (DPT)
Entity Type:Individual
Prefix:
First Name:STEPHY
Middle Name:
Last Name:SEBASTIAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MONTROSE RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2801
Mailing Address - Country:US
Mailing Address - Phone:914-888-6392
Mailing Address - Fax:
Practice Address - Street 1:46 COOK ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4004
Practice Address - Country:US
Practice Address - Phone:718-701-7300
Practice Address - Fax:718-701-7301
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043445225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist