MEDICARE: HUMAN PHYSICAL THERAPY P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1013881200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMAN PHYSICAL THERAPY P.C.

Provider Business Mailing Address
First Line	:	565 HILLSIDE BLVD
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-2911
Country	:	US
Telephone Number	:	516-304-8319
Fax Number	:

Provider Business Practice Location Address
First Line	:	4732 32ND PL
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-2425
Country	:	US
Telephone Number	:	516-304-8319
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	ERIC BIALCZAK
Credential	:	DPT
Telephone Number	:	516-304-8319

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/01/2025

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