Healthcare Provider Details

I. General information

NPI: 1972261360
Provider Name (Legal Business Name): NY HAND PHYSICAL THERAPY OT PT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 5TH AVE STE 803
NEW YORK NY
10003-3020
US

IV. Provider business mailing address

89 5TH AVE STE 803
NEW YORK NY
10003-3020
US

V. Phone/Fax

Practice location:
  • Phone: 212-989-4263
  • Fax:
Mailing address:
  • Phone: 212-989-4263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHELE MILANO
Title or Position: OWNER
Credential: OT
Phone: 201-220-9493