Provider Demographics
NPI:1790993996
Name:TENDER TOUCH PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:TENDER TOUCH PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAWED
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:718-523-7071
Mailing Address - Street 1:108 LEAHY ST
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1618
Mailing Address - Country:US
Mailing Address - Phone:516-433-5288
Mailing Address - Fax:516-822-3418
Practice Address - Street 1:18311 HILLSIDE AVE
Practice Address - Street 2:SUITE #AA&BB
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4840
Practice Address - Country:US
Practice Address - Phone:718-235-7071
Practice Address - Fax:718-570-4648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0111932251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty