Provider Demographics
NPI:1982777280
Name:49TH PHYSICAL THERAPY,PC
Entity Type:Organization
Organization Name:49TH PHYSICAL THERAPY,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KONSTANTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-707-6970
Mailing Address - Street 1:3636 33RD ST STE 403
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2329
Mailing Address - Country:US
Mailing Address - Phone:718-707-0717
Mailing Address - Fax:718-707-6977
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:212-813-2219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty