Provider Demographics
NPI: | 1528350584 |
---|---|
Name: | METROPOLITAN PT OT RT SLT RN NT FAM |
Entity type: | Organization |
Organization Name: | METROPOLITAN PT OT RT SLT RN NT FAM |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE VICE PRESIDENT AND CFO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | MOUNIR |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DOSS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 718-206-6291 |
Mailing Address - Street 1: | 8900 VAN WYCK EXPY |
Mailing Address - Street 2: | ROOM 4S |
Mailing Address - City: | JAMAICA |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11418-2832 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 718-206-6000 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 8900 VAN WYCK EXPY |
Practice Address - Street 2: | |
Practice Address - City: | JAMAICA |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11418-2832 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-206-6000 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-05-10 |
Last Update Date: | 2011-05-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 132700000X | Dietary & Nutritional Service Providers | Dietary Manager | Group - Multi-Specialty | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 183500000X | Pharmacy Service Providers | Pharmacist | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Group - Multi-Specialty | |
No | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |