Provider Demographics
NPI:1538476585
Name:INTEGRAL PHYSICAL THERAPY, PC
Entity type:Organization
Organization Name:INTEGRAL PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DINSAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:917-345-6290
Mailing Address - Street 1:225 W 23RD ST
Mailing Address - Street 2:6D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2300
Mailing Address - Country:US
Mailing Address - Phone:917-345-6290
Mailing Address - Fax:917-470-9962
Practice Address - Street 1:225 W 23RD ST
Practice Address - Street 2:6D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2300
Practice Address - Country:US
Practice Address - Phone:917-345-6290
Practice Address - Fax:917-470-9962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022860-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy