Provider Demographics
NPI:1871245969
Name:EMMI AGUILLARD PHYSICAL THERAPY
Entity Type:Organization
Organization Name:EMMI AGUILLARD PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFEMINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-717-8068
Mailing Address - Street 1:240 W 73RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2700
Mailing Address - Country:US
Mailing Address - Phone:225-892-2227
Mailing Address - Fax:
Practice Address - Street 1:240 W 73RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2700
Practice Address - Country:US
Practice Address - Phone:225-892-2227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty