Provider Demographics
NPI:1447587530
Name:CITY PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:CITY PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHANY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-537-0110
Mailing Address - Street 1:PO BOX 1271
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-0863
Mailing Address - Country:US
Mailing Address - Phone:212-537-0110
Mailing Address - Fax:212-537-6240
Practice Address - Street 1:118 BAXTER ST STE 303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3675
Practice Address - Country:US
Practice Address - Phone:212-537-0110
Practice Address - Fax:212-537-6240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020183261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy