Provider Demographics
NPI:1760813257
Name:ADVANCED PHYSICAL THERAPY OF ROCKLAND, PLLC
Entity Type:Organization
Organization Name:ADVANCED PHYSICAL THERAPY OF ROCKLAND, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCK-FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-627-8220
Mailing Address - Street 1:36 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3093
Mailing Address - Country:US
Mailing Address - Phone:845-627-8220
Mailing Address - Fax:845-215-9360
Practice Address - Street 1:36 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-3093
Practice Address - Country:US
Practice Address - Phone:845-627-8220
Practice Address - Fax:845-215-9360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004387-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy