Provider Demographics
NPI:1194993519
Name:DIAMOND & SCHULTZ PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:DIAMOND & SCHULTZ PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:VON GAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-872-7154
Mailing Address - Street 1:6 E 39TH ST
Mailing Address - Street 2:SUITE 504
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0112
Mailing Address - Country:US
Mailing Address - Phone:212-317-8303
Mailing Address - Fax:212-414-0524
Practice Address - Street 1:6 E 39TH ST
Practice Address - Street 2:SUITE 504
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0112
Practice Address - Country:US
Practice Address - Phone:212-317-8303
Practice Address - Fax:212-414-0524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy