Provider Demographics
NPI:1598914285
Name:NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
Entity Type:Organization
Organization Name:NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND COLLECTION MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MERITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-665-8645
Mailing Address - Street 1:569 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8505
Mailing Address - Country:US
Mailing Address - Phone:631-665-8645
Mailing Address - Fax:631-665-8646
Practice Address - Street 1:2100 BARTOW AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4614
Practice Address - Country:US
Practice Address - Phone:718-379-0977
Practice Address - Fax:718-379-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ0W1B1Medicare PIN