Healthcare Provider Details

I. General information

NPI: 1225571144
Provider Name (Legal Business Name): DOROTHY SYKES DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2016
Last Update Date: 11/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 E 57TH ST
NEW YORK NY
10022-2102
US

IV. Provider business mailing address

139 E 57TH ST
NEW YORK NY
10022-2102
US

V. Phone/Fax

Practice location:
  • Phone: 212-753-4767
  • Fax:
Mailing address:
  • Phone: 212-753-4767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number041058
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: