Provider Demographics
NPI:1861019978
Name:TRIBECA PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:TRIBECA PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCIAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-455-4433
Mailing Address - Street 1:225 BROADWAY STE 2735
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3083
Mailing Address - Country:US
Mailing Address - Phone:212-406-8080
Mailing Address - Fax:212-406-6550
Practice Address - Street 1:225 BROADWAY STE 2735
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3083
Practice Address - Country:US
Practice Address - Phone:212-406-8080
Practice Address - Fax:212-406-6550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty