Provider Demographics
NPI:1144491457
Name:ALLIANCE PHYSICAL THERAPY, P.C.
Entity type:Organization
Organization Name:ALLIANCE PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:MACRI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-227-5757
Mailing Address - Street 1:5765 AMBOY RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-3135
Mailing Address - Country:US
Mailing Address - Phone:718-227-5757
Mailing Address - Fax:718-227-5025
Practice Address - Street 1:5765 AMBOY RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-3135
Practice Address - Country:US
Practice Address - Phone:718-227-5757
Practice Address - Fax:718-227-5025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016717225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2459552Medicaid
NY46301OtherORTHONET
NYMW6717OtherUHC
NY133797POtherHIP
NYQB9352OtherEMPIRE BC/BS
NY2459552Medicaid