Provider Demographics
NPI:1659658854
Name:CROSS PHYSICAL THERAPY P C
Entity Type:Organization
Organization Name:CROSS PHYSICAL THERAPY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:646-220-5962
Mailing Address - Street 1:100 CENTRAL AVE
Mailing Address - Street 2:B4
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-7326
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 CENTRAL AVE
Practice Address - Street 2:B4
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-7326
Practice Address - Country:US
Practice Address - Phone:646-220-5962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty