Provider Demographics
NPI:1942577390
Name:METRO PHYSICAL THERAPY & SPORTS REHABILITATION LLP
Entity Type:Organization
Organization Name:METRO PHYSICAL THERAPY & SPORTS REHABILITATION LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:212-585-4444
Mailing Address - Street 1:4 E 84TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0404
Mailing Address - Country:US
Mailing Address - Phone:212-585-4444
Mailing Address - Fax:212-772-8673
Practice Address - Street 1:4 E 84TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0404
Practice Address - Country:US
Practice Address - Phone:212-585-4444
Practice Address - Fax:212-772-8673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010449225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty