Healthcare Provider Details

I. General information

NPI: 1477487684
Provider Name (Legal Business Name): FUTURE MEDICAL NEW YORK P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 5TH AVE
NEW YORK NY
10011-5605
US

IV. Provider business mailing address

122 5TH AVE
NEW YORK NY
10011-5605
US

V. Phone/Fax

Practice location:
  • Phone: 914-877-2802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL BACH
Title or Position: OWNER
Credential:
Phone: 667-618-4357