Provider Demographics
NPI:1417761065
Name:PHYSICAL THERAPY NYC PLLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY NYC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MISIURA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:732-829-0286
Mailing Address - Street 1:29 CORNWALL ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07732-1752
Mailing Address - Country:US
Mailing Address - Phone:732-829-0286
Mailing Address - Fax:
Practice Address - Street 1:30 E 60TH ST RM 206
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7111
Practice Address - Country:US
Practice Address - Phone:212-765-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty