MEDICARE: FINEST PHYSICAL THERAPY PC

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	225100000X	Physical Therapist		NY

General Provider Information

NPI Number	:	1538426457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINEST PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	66- 92 SELFRIDGE STREET
Second Line	:	APT 5J
City	:	FOREST HILLS
State	:	NY
Zip	:	11375
Country	:	US
Telephone Number	:	347-419-7601
Fax Number	:

Provider Business Practice Location Address
First Line	:	6692 SELFRIDGE ST
Second Line	:	SPARTMENT 5J
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4153
Country	:	US
Telephone Number	:	347-419-7601
Fax Number	:

Authorized Official
Title or Position	:	P.T.
Name	:	THOMAS STANISLAWSKI
Credential	:
Telephone Number	:	347-419-7601

Provider Enumeration Date	:	04/17/2012
Last Update Date	:	04/17/2012

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