Provider Demographics
NPI:1952584609
Name:CORE FOCUS PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:CORE FOCUS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:M. JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MONREAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-826-0264
Mailing Address - Street 1:424 MADISON AVE FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1164
Mailing Address - Country:US
Mailing Address - Phone:212-813-2218
Mailing Address - Fax:
Practice Address - Street 1:424 MADISON AVE FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1164
Practice Address - Country:US
Practice Address - Phone:212-813-2218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023810-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy