Provider Demographics
NPI:1962703488
Name:SCARSDALE PHYSICAL THERAPY
Entity type:Organization
Organization Name:SCARSDALE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MASSIMO
Authorized Official - Middle Name:R
Authorized Official - Last Name:PULVIRENTI
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:914-472-6686
Mailing Address - Street 1:83 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5104
Mailing Address - Country:US
Mailing Address - Phone:914-346-5174
Mailing Address - Fax:914-346-5176
Practice Address - Street 1:83 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5104
Practice Address - Country:US
Practice Address - Phone:914-346-5174
Practice Address - Fax:914-346-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy