Provider Demographics
NPI:1548730211
Name:CULTURE OF PT PLLC
Entity type:Organization
Organization Name:CULTURE OF PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:914-400-3650
Mailing Address - Street 1:301 E 47TH ST APT 11C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2308
Mailing Address - Country:US
Mailing Address - Phone:914-400-3650
Mailing Address - Fax:914-462-4218
Practice Address - Street 1:370 LEXINGTON AVE
Practice Address - Street 2:ST 2300
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6503
Practice Address - Country:US
Practice Address - Phone:914-400-3650
Practice Address - Fax:914-462-4218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty