Provider Demographics
NPI:1760260202
Name:NOVAR PT PC
Entity Type:Organization
Organization Name:NOVAR PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HANY
Authorized Official - Middle Name:YOUSSEF
Authorized Official - Last Name:ZAKY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:646-258-7102
Mailing Address - Street 1:104 LEGION PL
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2266
Mailing Address - Country:US
Mailing Address - Phone:646-258-7102
Mailing Address - Fax:
Practice Address - Street 1:2829A EDSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3440
Practice Address - Country:US
Practice Address - Phone:718-400-9105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy