Downtown Brooklyn PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DOWNTOWN BROOKLYN PT PC

Practice address

6937 Myrtle Ave
Glendale, NY 11385-7265

Phone

(929) 435-8403

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Samir Zaqdan

Title

President

Phone

(929) 435-8403

Specialties & licenses 1

Addresses

Other names 1

• na Former legal business name

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1841986445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740039",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113740039",
            "telephone_number": "929-435-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6937 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857265",
            "telephone_number": "929-435-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN BROOKLYN PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "ZAQDAN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-435-8403",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "na",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Dispenza, M.D.
• Dna RX 101 Corp
• Eugene J Dolphin, MD
• Claudette Donatien, PHARMD
• Doris Scrozzo
• Drugtown
• Srushti Dugaonkar
• Angela Maria Duque, M.D.
• Dyevo Physical Therapy, P.C.
• East Flushing Medical PLLC

• Physical Therapy Clinic/Center in Glendale, NY
• Providers in Glendale, 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 17, 2023; 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.