Provider Demographics
NPI:1659505287
Name:COMPREHENSIVE THERAPY SERVICES PT & OT PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE THERAPY SERVICES PT & OT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ZACHARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:631-338-2153
Mailing Address - Street 1:33 PIRATE ST
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-1028
Mailing Address - Country:US
Mailing Address - Phone:516-885-2236
Mailing Address - Fax:631-284-3982
Practice Address - Street 1:33 PIRATE ST
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-1028
Practice Address - Country:US
Practice Address - Phone:516-885-2236
Practice Address - Fax:631-284-3982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0246091261QP2000X
NY0112521261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy