Provider Demographics
NPI:1942591763
Name:INFINITE PT CARE PC
Entity Type:Organization
Organization Name:INFINITE PT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDESMA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-849-2232
Mailing Address - Street 1:111 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4852
Mailing Address - Country:US
Mailing Address - Phone:516-849-2232
Mailing Address - Fax:516-233-1846
Practice Address - Street 1:111 S 8TH ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4852
Practice Address - Country:US
Practice Address - Phone:516-849-2232
Practice Address - Fax:516-233-1846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy