Healthcare Provider Details
I. General information
NPI: 1538197462
Provider Name (Legal Business Name): JOINT EFFORT PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 DEY ST MEZZANINE
NEW YORK NY
10007-3105
US
IV. Provider business mailing address
7 DEY ST MEZZANINE
NEW YORK NY
10007-3105
US
V. Phone/Fax
- Phone: 212-732-1276
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | 7867 |
| License Number State | NY |
VIII. Authorized Official
Name:
LLOYD
HINES
Title or Position: SOLE PROPRIETOR
Credential: PT
Phone: 212-732-1276