Provider Demographics
NPI:1598469728
Name:NEIGHBORHOOD PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:NEIGHBORHOOD PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-843-4155
Mailing Address - Street 1:65 LAKE NANUET DR
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3514
Mailing Address - Country:US
Mailing Address - Phone:914-843-4155
Mailing Address - Fax:
Practice Address - Street 1:65 LAKE NANUET DR
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-3514
Practice Address - Country:US
Practice Address - Phone:914-843-4155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty