Provider Demographics
NPI:1558788349
Name:NEW YORK CARE PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:NEW YORK CARE PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATIAS ARCHIVALD
Authorized Official - Middle Name:GO
Authorized Official - Last Name:PLOPINIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-520-1444
Mailing Address - Street 1:4820 39TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-4514
Mailing Address - Country:US
Mailing Address - Phone:917-520-1444
Mailing Address - Fax:718-835-5505
Practice Address - Street 1:4820 39TH ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-4514
Practice Address - Country:US
Practice Address - Phone:917-520-1444
Practice Address - Fax:718-835-5505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030859-1225100000X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty