Healthcare Provider Details

I. General information

NPI: 1275764714
Provider Name (Legal Business Name): CMS PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2367 WESTCHESTER AVE
BRONX NY
10462-5007
US

IV. Provider business mailing address

2367 WESTCHESTER AVE
BRONX NY
10462-5007
US

V. Phone/Fax

Practice location:
  • Phone: 347-844-2310
  • Fax: 718-597-2902
Mailing address:
  • Phone: 347-844-2310
  • Fax: 718-597-2902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number023514
License Number StateNY

VIII. Authorized Official

Name: ISLAM SHERIF
Title or Position: PRESIDENT
Credential: PHYSICAL THRAPIST
Phone: 347-844-2310