Provider Demographics
NPI:1457517559
Name:CORNERSTONE PHYSICAL THERAPY & WELLNESS
Entity Type:Organization
Organization Name:CORNERSTONE PHYSICAL THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-997-1185
Mailing Address - Street 1:20 E 35TH ST
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3887
Mailing Address - Country:US
Mailing Address - Phone:212-997-1185
Mailing Address - Fax:212-997-1235
Practice Address - Street 1:20 E 35TH ST
Practice Address - Street 2:SUITE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3887
Practice Address - Country:US
Practice Address - Phone:212-997-1185
Practice Address - Fax:212-997-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026131261QP2000X
NY013480261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy