Citycare Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

027648 Issued in NY

Legal business name

CITYCARE PHYSICAL THERAPY PC

Practice address

4161 Kissena Blvd
Suite 35
Flushing, NY 11355-3181

Phone

(917) 285-2248

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Al Manjoorsa, PT

Title

President/ Ceo

Phone

(917) 285-2248

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1073909735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "SUITE 35",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553181",
            "telephone_number": "917-285-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "SUITE 35",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553181",
            "telephone_number": "917-285-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYCARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "MANJOORSA",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "917-285-2248",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "027648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatim-Batrou Cisse
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• City Medical of Upper East Side, PLLC
• City Medical Supplies Inc
• City Pharmacy Inc (City Pharmacy)
• CJG Active Physical Therapy P.C.
• CL Pharmacy Inc
• John F Clagnaz, MD
• Clara Cheung Nutrition Consulting, LLC.
• Ana Belen Claridge, M.A.

• Physical Therapy Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.