Provider Demographics
NPI:1790241644
Name:SYMBIO PHYSIOTHERAPY, LLC
Entity Type:Organization
Organization Name:SYMBIO PHYSIOTHERAPY, LLC
Other - Org Name:SYMBIO PHYSIOTHERAPY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:WELLNESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-338-6268
Mailing Address - Street 1:214 W 29TH ST RM 901
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5757
Mailing Address - Country:US
Mailing Address - Phone:917-338-6268
Mailing Address - Fax:347-694-4969
Practice Address - Street 1:214 W 29TH ST RM 901
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5757
Practice Address - Country:US
Practice Address - Phone:917-338-6268
Practice Address - Fax:347-694-4969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty