Provider Demographics
NPI:1598165508
Name:A2Z PHYSICAL THERAPY P.C.
Entity Type:Organization
Organization Name:A2Z PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:GUTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS PT
Authorized Official - Phone:347-922-4349
Mailing Address - Street 1:1711 SHEEPSHEAD BAY RD APT 5A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3653
Mailing Address - Country:US
Mailing Address - Phone:347-922-4349
Mailing Address - Fax:718-646-1894
Practice Address - Street 1:1711 SHEEPSHEAD BAY RD APT 5A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3653
Practice Address - Country:US
Practice Address - Phone:347-922-4349
Practice Address - Fax:718-646-1894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021863225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY021863OtherLISCENCE