Provider Demographics
NPI:1629463559
Name:TLC PHYSICAL THERAPY OF ROCKLAND PC
Entity Type:Organization
Organization Name:TLC PHYSICAL THERAPY OF ROCKLAND PC
Other - Org Name:TLC MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DOCTOR OF PHYSICAL THERAP
Authorized Official - Prefix:
Authorized Official - First Name:ZVI
Authorized Official - Middle Name:
Authorized Official - Last Name:STERNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:845-694-2454
Mailing Address - Street 1:386 ROUTE 59
Mailing Address - Street 2:SUITE 402
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3411
Mailing Address - Country:US
Mailing Address - Phone:845-538-5731
Mailing Address - Fax:845-503-2282
Practice Address - Street 1:386 ROUTE 59
Practice Address - Street 2:SUITE 402
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-3411
Practice Address - Country:US
Practice Address - Phone:845-538-5731
Practice Address - Fax:845-503-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-29
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6679310001Medicare NSC