Provider Demographics
NPI:1457659559
Name:TOVA OVADIA, PT PC
Entity Type:Organization
Organization Name:TOVA OVADIA, PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOVA
Authorized Official - Middle Name:
Authorized Official - Last Name:OVADIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-609-2575
Mailing Address - Street 1:146 CENTRAL PARK W
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6297
Mailing Address - Country:US
Mailing Address - Phone:917-609-2575
Mailing Address - Fax:212-877-1971
Practice Address - Street 1:146 CENTRAL PARK W
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6297
Practice Address - Country:US
Practice Address - Phone:917-609-2575
Practice Address - Fax:212-877-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015699-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty