Healthcare Provider Details

I. General information

NPI: 1407242423
Provider Name (Legal Business Name): GET FIT PHYSICAL MEDICINE AND REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 04/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 BATHGATE AVE SUITE 2
BRONX NY
10457-8216
US

IV. Provider business mailing address

1575 BATHGATE AVE SUITE 2
BRONX NY
10457-8216
US

V. Phone/Fax

Practice location:
  • Phone: 718-618-7923
  • Fax: 718-618-7925
Mailing address:
  • Phone: 718-618-7923
  • Fax: 718-618-7925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE CABRERA
Title or Position: ASSISTANT
Credential:
Phone: 718-618-7923