Provider Demographics
NPI:1992227748
Name:WILLIAM STREET PHYSICAL MEDICINE & REHABILITATION
Entity type:Organization
Organization Name:WILLIAM STREET PHYSICAL MEDICINE & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-509-3333
Mailing Address - Street 1:100 WILLIAM ST RM 1215
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-5036
Mailing Address - Country:US
Mailing Address - Phone:212-509-3333
Mailing Address - Fax:212-509-2600
Practice Address - Street 1:100 WILLIAM ST RM 1215
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-5036
Practice Address - Country:US
Practice Address - Phone:212-509-3333
Practice Address - Fax:212-509-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty