Healthcare Provider Details

I. General information

NPI: 1326881749
Provider Name (Legal Business Name): BRITTANY LYNN PAPPACONSTANTINOU PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

30 E END AVE APT 4W
NEW YORK NY
10028-7940
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number052397
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: