Provider Demographics
NPI:1285095661
Name:BRIERWOOD PHYSICAL THERAPY, P.C.
Entity type:Organization
Organization Name:BRIERWOOD PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:STERLACE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:716-649-0444
Mailing Address - Street 1:3040 AMSDELL RD
Mailing Address - Street 2:SUITE 207 B
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5835
Mailing Address - Country:US
Mailing Address - Phone:716-649-0444
Mailing Address - Fax:716-649-0420
Practice Address - Street 1:3040 AMSDELL RD
Practice Address - Street 2:SUITE 207 B
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5835
Practice Address - Country:US
Practice Address - Phone:716-649-0444
Practice Address - Fax:716-649-0420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034424-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty