Provider Demographics
NPI:1871041020
Name:NEW HEIGHTS PHYSICAL THERAPY AND REHABILATITION SERVICES, PC
Entity Type:Organization
Organization Name:NEW HEIGHTS PHYSICAL THERAPY AND REHABILATITION SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASNODIN
Authorized Official - Middle Name:USMAN
Authorized Official - Last Name:DIANALAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:646-441-0362
Mailing Address - Street 1:4175 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3730
Mailing Address - Country:US
Mailing Address - Phone:212-781-7272
Mailing Address - Fax:
Practice Address - Street 1:4175 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-3730
Practice Address - Country:US
Practice Address - Phone:212-781-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018404-1261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation