Provider Demographics
NPI:1013256346
Name:NY TOTAL BODY PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:NY TOTAL BODY PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANJIE ACE
Authorized Official - Middle Name:GARCIANO
Authorized Official - Last Name:ZOZOBRANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-255-1086
Mailing Address - Street 1:3272 STEINWAY ST
Mailing Address - Street 2:STE B02
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-9713
Mailing Address - Country:US
Mailing Address - Phone:718-255-1086
Mailing Address - Fax:718-255-6430
Practice Address - Street 1:3272 STEINWAY ST
Practice Address - Street 2:STE B02
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-9713
Practice Address - Country:US
Practice Address - Phone:718-255-1086
Practice Address - Fax:718-255-6430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024998261QP2000X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy