Provider Demographics
NPI:1942866710
Name:GARAS PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:GARAS PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GARAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:201-471-1446
Mailing Address - Street 1:1877 GROVE ST FL 1
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-2245
Mailing Address - Country:US
Mailing Address - Phone:201-471-1446
Mailing Address - Fax:
Practice Address - Street 1:28 GLENN DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2104
Practice Address - Country:US
Practice Address - Phone:201-471-1446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty