Provider Demographics
NPI:1497372411
Name:FYSIOPLUS ON DEMAND
Entity Type:Organization
Organization Name:FYSIOPLUS ON DEMAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:ARRUFFAT
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT
Authorized Official - Phone:201-293-0753
Mailing Address - Street 1:39 FACTORY ST PH
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1444
Mailing Address - Country:US
Mailing Address - Phone:201-293-0753
Mailing Address - Fax:609-435-1234
Practice Address - Street 1:39 FACTORY ST PH
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1444
Practice Address - Country:US
Practice Address - Phone:201-293-0753
Practice Address - Fax:609-435-1234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy