Provider Demographics
NPI:1932921905
Name:BISHAY PHYSICAL THERAPY P.C.
Entity type:Organization
Organization Name:BISHAY PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-514-5152
Mailing Address - Street 1:188 KENSINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-1706
Mailing Address - Country:US
Mailing Address - Phone:917-514-5152
Mailing Address - Fax:
Practice Address - Street 1:8106 BAXTER AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1385
Practice Address - Country:US
Practice Address - Phone:917-514-5152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty