Provider Demographics
NPI:1982650438
Name:ACCU-CARE PHYSICAL THERAPY WORKS, P.C.
Entity Type:Organization
Organization Name:ACCU-CARE PHYSICAL THERAPY WORKS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLENE
Authorized Official - Middle Name:CONANAN
Authorized Official - Last Name:OCFEMIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-366-0838
Mailing Address - Street 1:6865 FRESH POND RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5263
Mailing Address - Country:US
Mailing Address - Phone:718-366-0838
Mailing Address - Fax:718-738-3438
Practice Address - Street 1:6865 FRESH POND RD
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5263
Practice Address - Country:US
Practice Address - Phone:718-366-0838
Practice Address - Fax:888-378-2268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018032225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07201OtherMEDICARE-PTIN
NY07201OtherMEDICARE-PTIN
NY07201Medicare PIN