Provider Demographics
NPI:1861816340
Name:GSDS INC.
Entity Type:Organization
Organization Name:GSDS INC.
Other - Org Name:OMI PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TEMITAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:OBADINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-749-1431
Mailing Address - Street 1:1248 CLINTONVILLE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1859
Mailing Address - Country:US
Mailing Address - Phone:718-746-1800
Mailing Address - Fax:888-567-4989
Practice Address - Street 1:1248 CLINTONVILLE ST
Practice Address - Street 2:SUITE C
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-1859
Practice Address - Country:US
Practice Address - Phone:718-746-1800
Practice Address - Fax:888-567-4989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty