Provider Demographics
NPI:1417565888
Name:COMFORT CARE PHYSICAL THERAPY REHABILITATION PC
Entity type:Organization
Organization Name:COMFORT CARE PHYSICAL THERAPY REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIVYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGHADAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-476-8990
Mailing Address - Street 1:303 BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10454-2508
Mailing Address - Country:US
Mailing Address - Phone:347-590-6565
Mailing Address - Fax:347-590-6564
Practice Address - Street 1:303 BROOK AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-2508
Practice Address - Country:US
Practice Address - Phone:800-750-8616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center