Provider Demographics
NPI:1851687057
Name:TLC PHYSICAL THERAPY OF ROCKLAND PC
Entity Type:Organization
Organization Name:TLC PHYSICAL THERAPY OF ROCKLAND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:ZVI
Authorized Official - Middle Name:
Authorized Official - Last Name:STERNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:845-694-2454
Mailing Address - Street 1:7 ARROWHEAD LN
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4001
Mailing Address - Country:US
Mailing Address - Phone:845-694-2454
Mailing Address - Fax:845-503-2282
Practice Address - Street 1:7 ARROWHEAD LN
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4001
Practice Address - Country:US
Practice Address - Phone:845-504-5472
Practice Address - Fax:845-503-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-26
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030127225100000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6679310001Medicare PIN