Provider Demographics
NPI:1871201897
Name:GUNKS PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:GUNKS PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:845-579-5007
Mailing Address - Street 1:652 ROUTE 299 # 204
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2933
Mailing Address - Country:US
Mailing Address - Phone:845-579-5007
Mailing Address - Fax:845-382-3380
Practice Address - Street 1:652 ROUTE 299 # 204
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2933
Practice Address - Country:US
Practice Address - Phone:845-579-5007
Practice Address - Fax:845-382-3380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy