Provider Demographics
NPI:1437931375
Name:ANGELES PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:ANGELES PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-286-1403
Mailing Address - Street 1:3 FERN AVE
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-3508
Mailing Address - Country:US
Mailing Address - Phone:201-286-2114
Mailing Address - Fax:201-385-5074
Practice Address - Street 1:65 FORT WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-4634
Practice Address - Country:US
Practice Address - Phone:201-286-2114
Practice Address - Fax:201-385-5074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy