Provider Demographics
NPI:1740361856
Name:FICHANDLER, DAVID SCOTT (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:SCOTT
Last Name:FICHANDLER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5601 RIVERDALE AVE
Mailing Address - Street 2:APARTMENT 5L
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2119
Mailing Address - Country:US
Mailing Address - Phone:212-241-8056
Mailing Address - Fax:212-860-1093
Practice Address - Street 1:1468 MADISON AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-8056
Practice Address - Fax:212-860-1093
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY16603-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist