Provider Demographics
NPI:1184491391
Name:NFD PHYSICAL THERAPY P C
Entity type:Organization
Organization Name:NFD PHYSICAL THERAPY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:NOLAN
Authorized Official - Middle Name:DE
Authorized Official - Last Name:SESTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-686-6548
Mailing Address - Street 1:2999 AVENUE T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4005
Mailing Address - Country:US
Mailing Address - Phone:718-686-6548
Mailing Address - Fax:
Practice Address - Street 1:835 60TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4310
Practice Address - Country:US
Practice Address - Phone:718-686-6548
Practice Address - Fax:718-686-6561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty