# PHYSIATRY PRACTICE OF NEW YORK, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245923317
- **Authorized official:** JASON GEORGEKUTTY DO (CEO)
- **Authorized official phone:** (877) 749-7428

## Contact information

- **Practice address:** 785 MAMARONECK AVE, WHITE PLAINS, NY 10605-2523
- **Practice address phone:** (877) 749-7428
- **Practice address fax:** (512) 628-3314
- **Mailing address:** 1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
- **Mailing address phone:** (877) 749-7428
- **Mailing address fax:** (512) 628-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2023
- **Last updated:** 06/29/2023