Provider Demographics
NPI:1972894194
Name:EAST TO WEST PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:EAST TO WEST PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NOYKHOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:347-262-3915
Mailing Address - Street 1:2365 E 13TH ST
Mailing Address - Street 2:APT. 2P
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4353
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2365 E 13TH ST
Practice Address - Street 2:APT. 2P
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4353
Practice Address - Country:US
Practice Address - Phone:347-262-3915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty