Healthcare Provider Details

I. General information

NPI: 1144826488
Provider Name (Legal Business Name): JORDAN BRETT SCHEIER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 E 84TH ST
NEW YORK NY
10028-2000
US

IV. Provider business mailing address

200 RIVERSIDE DR APT 1D
NEW YORK NY
10025-7243
US

V. Phone/Fax

Practice location:
  • Phone: 212-327-0600
  • Fax:
Mailing address:
  • Phone: 631-413-3073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number046742
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: