Provider Demographics
NPI:1851681779
Name:ALL PHYSICAL THERAPY OF THE BRONX, PC
Entity type:Organization
Organization Name:ALL PHYSICAL THERAPY OF THE BRONX, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LEON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-884-8248
Mailing Address - Street 1:3533 RIVERDALE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1803
Mailing Address - Country:US
Mailing Address - Phone:718-884-8248
Mailing Address - Fax:888-543-7447
Practice Address - Street 1:3533 RIVERDALE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1803
Practice Address - Country:US
Practice Address - Phone:718-884-8248
Practice Address - Fax:888-543-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022973261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy