SUDARA PT PC (NPI# 1043517790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043517790 |
| Entity Type | Organization |
| Organization Name | SUDARA PT PC |
| Practice Address |
5327 18th Ave Brooklyn NY 11204-1523 |
| Practice Telephone | 7182367707 |
| Practice Fax Number | 7182363300 |
| Mailing Telephone | 7182367707 |
| Mailing Fax Number | 7182363300 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | DAVID PEREZ- HERRANZ (P.T.) |
| Authorized Official Telephone | 7182367707 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
030017-1 | NY | Ambulatory Health Care Facilities |
| Street Address |
5327 18TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912006081 | Norman Hale Kupferstein | Physical Medicine & Rehabilitation | 5327 18th Ave, Brooklyn, NY 11204-1523 | 2006-09-22 |
| 1356484208 | The Cardiacare Group | Physical Medicine & Rehabilitation | 5327 18th Ave, Brooklyn, NY 11204-1523 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1952917726 | Mauro Woods | Clinic/Center | 974 Greene Ave Apt 4a, Brooklyn, NY 11221-6313 | 2020-09-17 |
| 1003430018 | Kenefick Physical Therapy Pllc | Clinic/Center | 112 Noel Ave, Brooklyn, NY 11229-6421 | 2020-06-05 |
| 1740742097 | Tara Knutsen, Pt, P.C. | Clinic/Center | 346 Senator St, Brooklyn, NY 11220-5311 | 2019-04-04 |
| 1386106128 | Standard Care P.t. P.C. | Clinic/Center | 333 Greene Ave # Store339, Brooklyn, NY 11238-2295 | 2019-04-02 |
| 1467937961 | Metropolis Physical Therapy Pllc | Clinic/Center | 585 Bushwick Ave, Brooklyn, NY 11206-4628 | 2018-10-01 |
| 1194217216 | Kambiz Raoufian Physical Therapy Pllc | Clinic/Center | 2176 New York Ave, Brooklyn, NY 11210 | 2018-06-04 |
| 1427584630 | Equinox Physical Therapy, PC | Clinic/Center | 407 Rockaway Avenue, 2nd Floor, Brooklyn, NY 11212 | 2017-05-08 |
| 1588195408 | Spring Rehab Pt, PC. | Clinic/Center | 8881 24th Ave, 2nd Fl, Brooklyn, NY 11214-6501 | 2017-03-22 |
| 1053859207 | American Medical Company | Clinic/Center | 1671 W 10th St, Brooklyn, NY 11223-1104 | 2017-02-08 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.