1083717870 NPI number — SLOANE STECKER PHYSICAL THERAPY PC

Table of content: LAUREN ELIZABETH OPPERMAN AUD (NPI 1356606784)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083717870 NPI number — SLOANE STECKER PHYSICAL THERAPY PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLOANE STECKER PHYSICAL THERAPY PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083717870
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/01/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 BRIDGE ST
Provider Second Line Business Mailing Address:
SUITE 71
Provider Business Mailing Address City Name:
IRVINGTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10533-1543
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-375-3434
Provider Business Mailing Address Fax Number:
914-375-3402

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 BRIDGE ST
Provider Second Line Business Practice Location Address:
SUITE 71
Provider Business Practice Location Address City Name:
IRVINGTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10533-1543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-375-3434
Provider Business Practice Location Address Fax Number:
914-375-3402
Provider Enumeration Date:
09/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STECKER
Authorized Official First Name:
SLOANE
Authorized Official Middle Name:
TODD
Authorized Official Title or Position:
PHYSICAL THERAPIST OWNER
Authorized Official Telephone Number:
914-375-3434

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  0158011 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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