Provider Demographics
NPI:1750094306
Name:ALL BODY MEDICAL PC
Entity type:Organization
Organization Name:ALL BODY MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:DYNOF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-207-8490
Mailing Address - Street 1:705 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3658
Mailing Address - Country:US
Mailing Address - Phone:516-308-7791
Mailing Address - Fax:
Practice Address - Street 1:984 N BROADWAY STE L09
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1319
Practice Address - Country:US
Practice Address - Phone:914-476-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty