Provider Demographics
NPI:1689950172
Name:TRUMP PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:TRUMP PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AASHIK
Authorized Official - Middle Name:R
Authorized Official - Last Name:MERCHANT
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:718-321-9688
Mailing Address - Street 1:4211 COLLEGE POINT BLVD.
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4230
Mailing Address - Country:US
Mailing Address - Phone:718-321-9688
Mailing Address - Fax:718-321-9668
Practice Address - Street 1:4211 COLLEGE POINT BLVD.
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4230
Practice Address - Country:US
Practice Address - Phone:718-321-9688
Practice Address - Fax:718-321-9668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021010174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty