Provider Demographics
NPI:1720529837
Name:PHYSICAL THERAPY FOR ALL PC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY FOR ALL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HODA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAABAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-517-0074
Mailing Address - Street 1:312 MCCLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-4457
Mailing Address - Country:US
Mailing Address - Phone:917-517-0074
Mailing Address - Fax:
Practice Address - Street 1:1942 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4704
Practice Address - Country:US
Practice Address - Phone:718-333-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029214225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY029214OtherLICENSE