Provider Demographics
NPI:1487959417
Name:COMPREHENSIVE PHYSICAL THERAPY AND REHABILITATION
Entity type:Organization
Organization Name:COMPREHENSIVE PHYSICAL THERAPY AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-803-9918
Mailing Address - Street 1:1438 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6604
Mailing Address - Country:US
Mailing Address - Phone:917-803-9918
Mailing Address - Fax:718-338-1230
Practice Address - Street 1:1438 E 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6604
Practice Address - Country:US
Practice Address - Phone:917-803-9918
Practice Address - Fax:718-338-1230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-23
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030087261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy