Healthcare Provider Details

I. General information

NPI: 1285668152
Provider Name (Legal Business Name): DANIEL SEIDLER PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 8TH ST APT 4R
BROOKLYN NY
11215-7229
US

IV. Provider business mailing address

243 8TH ST APT 4R
BROOKLYN NY
11215-7229
US

V. Phone/Fax

Practice location:
  • Phone: 917-519-1351
  • Fax:
Mailing address:
  • Phone: 917-268-4480
  • Fax: 885-554-6737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL E SEIDLER
Title or Position: OWNER
Credential: PT
Phone: 917-268-4480