Provider Demographics
NPI:1619143484
Name:CENTRAL PHYSICAL THERAPY ASSOC PC
Entity Type:Organization
Organization Name:CENTRAL PHYSICAL THERAPY ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-725-0180
Mailing Address - Street 1:495 CENTRAL PARK AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1068
Mailing Address - Country:US
Mailing Address - Phone:914-725-0180
Mailing Address - Fax:914-725-0181
Practice Address - Street 1:495 CENTRAL PARK AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1068
Practice Address - Country:US
Practice Address - Phone:914-725-0180
Practice Address - Fax:914-725-0181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy