Provider Demographics
NPI:1407991805
Name:RECOVERY PHYSICAL THERAPY,PC
Entity Type:Organization
Organization Name:RECOVERY PHYSICAL THERAPY,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:DESMOND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-315-1800
Mailing Address - Street 1:8000 COOPER AVENUE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385
Mailing Address - Country:US
Mailing Address - Phone:718-894-8960
Mailing Address - Fax:718-894-8964
Practice Address - Street 1:8000 COOPER AVENUE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385
Practice Address - Country:US
Practice Address - Phone:718-894-8960
Practice Address - Fax:718-894-8964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty