Provider Demographics
NPI:1962964569
Name:ACE PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:ACE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAHID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HOSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-426-7773
Mailing Address - Street 1:27 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2826
Mailing Address - Country:US
Mailing Address - Phone:347-426-7773
Mailing Address - Fax:516-570-6224
Practice Address - Street 1:7411 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6339
Practice Address - Country:US
Practice Address - Phone:347-426-7773
Practice Address - Fax:718-360-9680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy