Provider Demographics
NPI:1023447794
Name:ENJOY REHAB P.T., P.C.
Entity type:Organization
Organization Name:ENJOY REHAB P.T., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GAD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:646-577-1054
Mailing Address - Street 1:3 EAST DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2102
Mailing Address - Country:US
Mailing Address - Phone:646-577-1054
Mailing Address - Fax:646-200-5064
Practice Address - Street 1:11 E 47TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1919
Practice Address - Country:US
Practice Address - Phone:212-355-3377
Practice Address - Fax:212-355-3677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026764225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty