Provider Demographics
NPI:1861297624
Name:CUBE PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:CUBE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RADOSLAW
Authorized Official - Middle Name:
Authorized Official - Last Name:CISZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:267-582-4108
Mailing Address - Street 1:218 74TH ST APT E3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2499
Mailing Address - Country:US
Mailing Address - Phone:267-582-4108
Mailing Address - Fax:
Practice Address - Street 1:2769 CONEY ISLAND AVE STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5051
Practice Address - Country:US
Practice Address - Phone:718-775-8966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty