1073744199 NPI number — SARAH PARNES PHYSICAL THERAPY

Table of content: SARAH PARNES PHYSICAL THERAPY (NPI 1073744199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073744199 NPI number — SARAH PARNES PHYSICAL THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARNES
Provider First Name:
SARAH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPY
Provider Gender Code:
F

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:
1073744199
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
263 7TH AVE SUITE 2A
Provider Second Line Business Mailing Address:
METRO SPORTS MED
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11212
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-369-8000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44 LEE AVE
Provider Second Line Business Practice Location Address:
METRO SPORTS MED
Provider Business Practice Location Address City Name:
BROOKLYN NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-963-0882
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  031525 , 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)