Healthcare Provider Details

I. General information

NPI: 1023447794
Provider Name (Legal Business Name): ENJOY REHAB P.T., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 E 47TH ST 2ND FLOOR
NEW YORK NY
10017-1919
US

IV. Provider business mailing address

3 EAST DR
WOODBURY NY
11797-2102
US

V. Phone/Fax

Practice location:
  • Phone: 212-355-3377
  • Fax: 212-355-3677
Mailing address:
  • Phone: 646-577-1054
  • Fax: 646-200-5064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number026764
License Number StateNY

VIII. Authorized Official

Name: VICTOR GAD
Title or Position: DOCTOR OF PHYSICAL THERAPY
Credential: P.T.
Phone: 646-577-1054