Healthcare Provider Details
I. General information
NPI: 1952404493
Provider Name (Legal Business Name): ALLCARE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1213 AVENUE P FIRST FLOOR
BROOKLYN NY
11229-7064
US
IV. Provider business mailing address
PO BOX 297064
BROOKLYN NY
11229-7064
US
V. Phone/Fax
- Phone: 718-339-6885
- Fax: 718-339-0945
- Phone: 718-339-6885
- Fax: 718-339-0945
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name: MR.
OFIR
ISAAC
Title or Position: DIRECTOR/ OWNER
Credential: PT
Phone: 718-339-6885