Provider Demographics
NPI:1568707719
Name:BRONX FAMILY PHYSICAL THERAPY P.C.
Entity Type:Organization
Organization Name:BRONX FAMILY PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:347-393-0262
Mailing Address - Street 1:2901 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-2638
Mailing Address - Country:US
Mailing Address - Phone:917-962-9883
Mailing Address - Fax:917-962-9884
Practice Address - Street 1:2901 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-2638
Practice Address - Country:US
Practice Address - Phone:917-962-9883
Practice Address - Fax:917-962-9884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022652-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy