Provider Demographics
NPI:1801918651
Name:ZEBE PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:ZEBE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ZBIGNIEW
Authorized Official - Middle Name:T
Authorized Official - Last Name:MATYNIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-524-8193
Mailing Address - Street 1:2 GRASMERE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-4508
Mailing Address - Country:US
Mailing Address - Phone:718-524-8193
Mailing Address - Fax:718-524-8193
Practice Address - Street 1:157 GREENPOINT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-7099
Practice Address - Country:US
Practice Address - Phone:718-349-1200
Practice Address - Fax:718-349-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018718225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBK0220502OtherAMERICHOICE
NY03236968Medicaid
NY836652OtherMPN
NYA100028459Medicare PIN