Provider Demographics
NPI:1134164114
Name:H&D PHYSICAL THERAPY & OCCUPATIONAL THERAPY PLLC
Entity type:Organization
Organization Name:H&D PHYSICAL THERAPY & OCCUPATIONAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAGABAYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-499-0876
Mailing Address - Street 1:211 EAST 43RD STREET
Mailing Address - Street 2:SUITE 1106
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-499-0876
Mailing Address - Fax:212-953-1353
Practice Address - Street 1:211 EAST 43RD STREET
Practice Address - Street 2:SUITE 402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-499-0876
Practice Address - Fax:212-953-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1779725OtherUNITED HEALTHCARE
7510226OtherAETNA
NYN46882OtherHEALTH NET
NYN46882OtherHEALTH NET