Provider Demographics
NPI:1265072631
Name:NEW YORK PHYSICAL THERAPY CARE PC
Entity type:Organization
Organization Name:NEW YORK PHYSICAL THERAPY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:407-848-9693
Mailing Address - Street 1:96 28TH AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-7064
Mailing Address - Country:US
Mailing Address - Phone:718-566-0022
Mailing Address - Fax:718-566-0026
Practice Address - Street 1:1611 E NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-6860
Practice Address - Country:US
Practice Address - Phone:718-566-0022
Practice Address - Fax:718-566-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty