| Organization Name: | ADVANTAGE PHYSICAL THERAPY AT BROOKVIEW |
| NPI Number: | 1508876293 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN W FORNABAIO (PRESIDENT PHYSICAL THERAPIST) |
| Mailing Address: | 568 Columbia Tpke Ste 2 East Greenbush |
| State: | NY US |
| Postal Code: | 12061 |
| Phone Number: | 5184776179 |
| Fax Number: | 5184776209 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |