Organization Name: | BROADWAY PT CORP |
NPI Number: | 1063858520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NASRIN JAVIDAN (DIRECTOR) |
Mailing Address: | 200 S Broadway 2-2 Tarrytown |
State: | NY US |
Postal Code: | 105914500 |
Phone Number: | 9146311919 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 014644 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |