Provider Demographics
NPI:1356580450
Name:ROBERT J VESCSI
Entity type:Organization
Organization Name:ROBERT J VESCSI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:VECSI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT/L
Authorized Official - Phone:917-439-1276
Mailing Address - Street 1:228 E 26TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2429
Mailing Address - Country:US
Mailing Address - Phone:917-439-1276
Mailing Address - Fax:347-402-6761
Practice Address - Street 1:228 E 26TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2429
Practice Address - Country:US
Practice Address - Phone:917-439-1276
Practice Address - Fax:347-402-6761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021512225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty