Farbod E Barzideh, DPT
Individual provider Active NPI Physical Therapist · Albertson, NY
NPI 1407048614 · NPPES record last updated Aug 11, 2007
Key facts
- NPI
- 1407048614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 028019-1 (NY)
- Practice address
- 77 Arleigh Dr
Albertson, NY 11507-1207 - Phone
- (917) 596-6925
- NPI assigned
- Aug 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028019 | NY | MD | Occupational Therapist |
| 028019-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028019-1 | NY | Yes |
Addresses
Primary practice location
77 Arleigh Dr
Albertson, NY 11507-1207
Mailing address
77 Arleigh Dr
Albertson, NY 11507-1207
Phone (917) 596-6925
Other providers in Albertson, NY
- Ajay Bahl
- Jaya Bahl
- Dawn Marie Baratta
- Emily Pereira Barbosa
- Barbara Barone
- Jessica Barzideh
- Aissa Beaton
- Sophia Behrmann
- Lauren Beth Benzoni
- Brittany Margot Bergersen
All providers in Albertson, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.