Provider Demographics
NPI:1851636468
Name:REFUAH PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:REFUAH PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGELBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-252-0625
Mailing Address - Street 1:1228 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4743
Mailing Address - Country:US
Mailing Address - Phone:718-252-0625
Mailing Address - Fax:
Practice Address - Street 1:2918 AVENUE M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210
Practice Address - Country:US
Practice Address - Phone:718-252-0625
Practice Address - Fax:718-252-0615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-07
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty