MEDICARE: CYNERGY PHYSICAL THERAPY COBBLE HILL PLLC

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	:	1023777232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNERGY PHYSICAL THERAPY COBBLE HILL PLLC

Provider Business Mailing Address
First Line	:	485 MADISON AVE FL 8
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-5803
Country	:	US
Telephone Number	:	212-980-2963
Fax Number	:	212-974-7228

Provider Business Practice Location Address
First Line	:	166 SMITH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-6986
Country	:	US
Telephone Number	:	718-795-2744
Fax Number	:	646-625-5922

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHANYK QUEZADA
Credential	:
Telephone Number	:	718-795-2744

Provider Enumeration Date	:	12/15/2021
Last Update Date	:	02/16/2026

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