Provider Demographics
NPI:1215510714
Name:TAKE FLIGHT PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:TAKE FLIGHT PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:TOSHKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:929-490-2131
Mailing Address - Street 1:10810 72ND AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5302
Mailing Address - Country:US
Mailing Address - Phone:929-490-2131
Mailing Address - Fax:
Practice Address - Street 1:10810 72ND AVE STE 4
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5302
Practice Address - Country:US
Practice Address - Phone:929-490-2131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy