Provider Demographics
NPI:1952855074
Name:EDWINA SULIMIRSKI PHYSICAL THERAPY
Entity Type:Organization
Organization Name:EDWINA SULIMIRSKI PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDWINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SULIMIRSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-274-0585
Mailing Address - Street 1:321 PONDFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-4924
Mailing Address - Country:US
Mailing Address - Phone:914-274-0585
Mailing Address - Fax:
Practice Address - Street 1:321 PONDFIELD RD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-4924
Practice Address - Country:US
Practice Address - Phone:914-274-0585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020855-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty