Provider Demographics
NPI:1619208402
Name:SONIA CHHABRA PHYSICAL THERAPY P.C
Entity Type:Organization
Organization Name:SONIA CHHABRA PHYSICAL THERAPY P.C
Other - Org Name:PERFORMAX PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPY
Authorized Official - Prefix:MISS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHHABRA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:917-601-6056
Mailing Address - Street 1:1175 YORK AVE
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7169
Mailing Address - Country:US
Mailing Address - Phone:646-485-8801
Mailing Address - Fax:866-614-8293
Practice Address - Street 1:201 E 67TH ST
Practice Address - Street 2:3RD FLR.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6064
Practice Address - Country:US
Practice Address - Phone:646-485-8801
Practice Address - Fax:866-614-8293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020460261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy