Provider Demographics
NPI:1811465321
Name:ZION WELLNESS PT PC
Entity type:Organization
Organization Name:ZION WELLNESS PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZION
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-515-3699
Mailing Address - Street 1:310 W 72ND ST STE 1G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2675
Mailing Address - Country:US
Mailing Address - Phone:212-353-8693
Mailing Address - Fax:347-507-5510
Practice Address - Street 1:525 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310-1606
Practice Address - Country:US
Practice Address - Phone:212-353-8693
Practice Address - Fax:347-507-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy