Healthcare Provider Details

I. General information

NPI: 1629013735
Provider Name (Legal Business Name): JOINT EFFORT PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W 71ST ST
NEW YORK NY
10023-3766
US

IV. Provider business mailing address

211 W 71ST ST
NEW YORK NY
10023-3766
US

V. Phone/Fax

Practice location:
  • Phone: 212-721-6200
  • Fax: 212-721-5887
Mailing address:
  • Phone: 212-721-6200
  • Fax: 212-721-5887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number7867
License Number StateNY

VIII. Authorized Official

Name: MR. LLOYD R. HINES
Title or Position: SOLE PROPRIETOR
Credential: PT
Phone: 212-721-6200