Provider Demographics
NPI:1487416145
Name:REMEZ KIRSCHTEL, SOL MICHAL
Entity type:Individual
Prefix:
First Name:SOL MICHAL
Middle Name:
Last Name:REMEZ KIRSCHTEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MEIN DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6713
Mailing Address - Country:US
Mailing Address - Phone:929-666-8217
Mailing Address - Fax:
Practice Address - Street 1:1 WESTCHESTER PARK DR
Practice Address - Street 2:
Practice Address - City:W HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-3426
Practice Address - Country:US
Practice Address - Phone:914-290-5158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051606225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist