Provider Demographics
NPI:1992028245
Name:HUMANQUEST PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:HUMANQUEST PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:DAROY
Authorized Official - Last Name:BENOLERAO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-376-3947
Mailing Address - Street 1:657 YONKERS AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2668
Mailing Address - Country:US
Mailing Address - Phone:914-376-3947
Mailing Address - Fax:914-376-9822
Practice Address - Street 1:657 YONKERS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2668
Practice Address - Country:US
Practice Address - Phone:914-376-3947
Practice Address - Fax:914-376-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014875-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ25771Medicare PIN