Provider Demographics
NPI:1588623862
Name:LASZCZYK, ZBIGNIEW (DPT)
Entity Type:Individual
Prefix:
First Name:ZBIGNIEW
Middle Name:
Last Name:LASZCZYK
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7115 3RD AVE
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1347
Mailing Address - Country:US
Mailing Address - Phone:718-833-0905
Mailing Address - Fax:718-833-0905
Practice Address - Street 1:115 NASSAU AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-3217
Practice Address - Country:US
Practice Address - Phone:718-833-0905
Practice Address - Fax:718-833-0905
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014652225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11-3365347OtherMAGNA CARE
NM6696912OtherGHI
NY11-3365347-01Other11-99
NY11-3365347OtherMULTIPLAN
NY2389144OtherUNITED HEALTH PLAN
NY11-3365347OtherHORIZON
NYCIGNAOther1725570
NY11-3365347OtherMAGNA CARE