Healthcare Provider Details

I. General information

NPI: 1255092623
Provider Name (Legal Business Name): TEMPO PT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 01/06/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 FAIRFIELD AVE APT 7L
BRONX NY
10463-3349
US

IV. Provider business mailing address

3050 FAIRFIELD AVE APT 7L
BRONX NY
10463-3349
US

V. Phone/Fax

Practice location:
  • Phone: 917-705-3866
  • Fax: 917-580-6696
Mailing address:
  • Phone: 917-705-3866
  • Fax: 917-580-6696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GARY ABANO
Title or Position: OWNER
Credential: DPT
Phone: 917-705-3866