1487789269 NPI number — NEW BEST PHYSICAL THERAPY PC

Table of content: (NPI 1487789269)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487789269 NPI number — NEW BEST PHYSICAL THERAPY PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW BEST 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:
APOLLO PHYSICAL THERAPY
Provider Other Organization Name Type Code:
3
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:
1487789269
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
271 W 125TH ST
Provider Second Line Business Mailing Address:
SUITE 211
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10027-4424
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-493-9600
Provider Business Mailing Address Fax Number:
917-493-2078

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
271 W 125TH ST
Provider Second Line Business Practice Location Address:
SUITE 211
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10027-4424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-493-9600
Provider Business Practice Location Address Fax Number:
917-493-2078
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PENNELLA
Authorized Official First Name:
ARMANDO
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
917-493-9600

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  020611-1 , 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)

  • Identifier: 6698761 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1945288 . This is a "UNTIED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3022884 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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