Provider Demographics
NPI:1295050268
Name:SHAIR HOME CARE PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:SHAIR HOME CARE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAIR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-475-2000
Mailing Address - Street 1:473 FDR DR
Mailing Address - Street 2:STOREFRONT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2024
Mailing Address - Country:US
Mailing Address - Phone:212-475-2000
Mailing Address - Fax:
Practice Address - Street 1:473 FDR DR
Practice Address - Street 2:STOREFRONT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-2024
Practice Address - Country:US
Practice Address - Phone:212-475-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015866-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy