Healthcare Provider Details

I. General information

NPI: 1851687057
Provider Name (Legal Business Name): TLC PHYSICAL THERAPY OF ROCKLAND PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2011
Last Update Date: 06/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 ARROWHEAD LN
SUFFERN NY
10901-4001
US

IV. Provider business mailing address

7 ARROWHEAD LN
SUFFERN NY
10901-4001
US

V. Phone/Fax

Practice location:
  • Phone: 845-504-5472
  • Fax: 845-503-2282
Mailing address:
  • Phone: 845-694-2454
  • Fax: 845-503-2282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number030127
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. ZVI STERNBERG
Title or Position: OWNER,DOCTOR OF PHYSICAL THERAPY
Credential: PT,DPT
Phone: 845-694-2454