Healthcare Provider Details

I. General information

NPI: 1831663004
Provider Name (Legal Business Name): ALEKSANDRA SETCKA PT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2019
Last Update Date: 01/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 5TH AVE RM 1605
NEW YORK NY
10017-7855
US

IV. Provider business mailing address

501 5TH AVE RM 1605
NEW YORK NY
10017-7855
US

V. Phone/Fax

Practice location:
  • Phone: 212-286-0666
  • Fax: 212-286-4466
Mailing address:
  • Phone: 212-286-0666
  • Fax: 212-286-4466

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: ANDREW MARCUS
Title or Position: OFFICE MANAGER
Credential:
Phone: 212-421-1969