Provider Demographics
NPI:1215982293
Name:FIRST CHOICE PHYSICAL &
Entity type:Organization
Organization Name:FIRST CHOICE PHYSICAL &
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERETTI
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:347-582-2534
Mailing Address - Street 1:2904 BRUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2101
Mailing Address - Country:US
Mailing Address - Phone:347-582-2534
Mailing Address - Fax:347-582-2859
Practice Address - Street 1:2904 BRUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2101
Practice Address - Country:US
Practice Address - Phone:347-582-2534
Practice Address - Fax:347-582-2859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019165225100000X
NY013824225100000X
NY015495-1225X00000X
NY006739225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty