Healthcare Provider Details

I. General information

NPI: 1609035898
Provider Name (Legal Business Name): HANDSON ON CARE PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 W 57TH ST SUITE #1406
NEW YORK NY
10019-2802
US

IV. Provider business mailing address

5 ENGINEERS ROAD
ROSLYN HARBOR NY
11576
US

V. Phone/Fax

Practice location:
  • Phone: 212-399-3800
  • Fax: 212-399-3822
Mailing address:
  • Phone: 718-707-6970
  • Fax: 718-732-2864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0111881
License Number StateNY

VIII. Authorized Official

Name: DIMITRIOS KOSTOPOULOS
Title or Position: OWNER
Credential: PT PHD DSC
Phone: 718-707-6970