Provider Demographics
NPI:1932342912
Name:CHELSEA WEST PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:CHELSEA WEST PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-947-4799
Mailing Address - Street 1:134 W 29TH ST RM 1008
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5663
Mailing Address - Country:US
Mailing Address - Phone:212-947-4799
Mailing Address - Fax:212-947-4706
Practice Address - Street 1:134 W 29TH ST RM 1008
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5663
Practice Address - Country:US
Practice Address - Phone:212-947-4799
Practice Address - Fax:212-947-4706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0230192081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty