Provider Demographics
NPI:1437482577
Name:GOLDZWEIG-MAYER, MICHAL (DPT)
Entity Type:Individual
Prefix:
First Name:MICHAL
Middle Name:
Last Name:GOLDZWEIG-MAYER
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 1:227 WANSER AVE
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-2113
Mailing Address - Country:US
Mailing Address - Phone:917-620-3446
Mailing Address - Fax:
Practice Address - Street 1:227 WANSER AVE
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-2113
Practice Address - Country:US
Practice Address - Phone:917-620-3446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031805225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist