Provider Demographics
NPI:1467120436
Name:SUMMIT CARE PHYSICAL THERAPY - YONKERS PLLC
Entity type:Organization
Organization Name:SUMMIT CARE PHYSICAL THERAPY - YONKERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAD
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:914-574-7467
Mailing Address - Street 1:30 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-3712
Mailing Address - Country:US
Mailing Address - Phone:914-574-7467
Mailing Address - Fax:914-650-1235
Practice Address - Street 1:30 S BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3712
Practice Address - Country:US
Practice Address - Phone:914-574-7467
Practice Address - Fax:914-650-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty