Organization Name: | DEER PARK MEDICAL, P.C. |
NPI Number: | 1518232115 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL DEMISHEV (PC OWNER) |
Mailing Address: | 2103 Deer Park Ave Deer Park |
State: | NY US |
Postal Code: | 117291319 |
Phone Number: | 6312424500 |
Fax Number: | 6316176633 |
NPI Enumeration Date: | 03/14/2012 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |