Provider Demographics
NPI:1881118826
Name:ACCESS CARE PT PC
Entity type:Organization
Organization Name:ACCESS CARE PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNIYIL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:347-551-4348
Mailing Address - Street 1:16836 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5216
Mailing Address - Country:US
Mailing Address - Phone:718-657-0412
Mailing Address - Fax:
Practice Address - Street 1:16836 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5216
Practice Address - Country:US
Practice Address - Phone:718-657-0412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty