Provider Demographics
NPI:1720381155
Name:V.I.P. PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:V.I.P. PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NANA
Authorized Official - Last Name:OFORI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:718-367-8800
Mailing Address - Street 1:229 E 204TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-1301
Mailing Address - Country:US
Mailing Address - Phone:718-367-8800
Mailing Address - Fax:718-367-4047
Practice Address - Street 1:229 E 204TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-1301
Practice Address - Country:US
Practice Address - Phone:718-367-8800
Practice Address - Fax:718-367-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010072261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy