Provider Demographics
NPI:1356608236
Name:PRECISE PHYSICAL THERAPY SOLUTIONS, P.C.
Entity type:Organization
Organization Name:PRECISE PHYSICAL THERAPY SOLUTIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:
Authorized Official - Last Name:TELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:917-295-1025
Mailing Address - Street 1:1960 WILLIAMSBRIDGE RD.
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:917-295-1025
Mailing Address - Fax:516-481-0463
Practice Address - Street 1:1960 WILLIAMSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1607
Practice Address - Country:US
Practice Address - Phone:917-295-1025
Practice Address - Fax:516-481-0463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028657261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy