Healthcare Provider Details

I. General information

NPI: 1871539239
Provider Name (Legal Business Name): HANDS ON PHYSICAL THERAPY,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 EAST 78TH STREET 4TH FLOOR
NEW YORK NY
10021-0213
US

IV. Provider business mailing address

3636 33RD ST
ASTORIA NY
11106-2329
US

V. Phone/Fax

Practice location:
  • Phone: 212-439-9303
  • Fax: 212-744-4481
Mailing address:
  • Phone: 718-707-6970
  • Fax: 718-707-6977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KONSTANTINE RIZOPOULOS
Title or Position: CO-OWNER
Credential: PT
Phone: 718-626-2699