Organization
WINDOR PHYSICAL THERAPY,LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY D NIELSEN PT (OWNER)
(718) 768-0002
Entity
Organization
Contact information
Practice address
1502 8TH AVE, BROOKLYN, NY 11215-5602
(718) 768-0002
(718) 768-6720
Mailing address
1502 8TH AVE, BROOKLYN, NY 11215-5602
(718) 768-0002
(718) 768-6720
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
020669
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007457599
AETNA
NY
01
—
01099199
WORKERS COMPENSATION
NY
01
—
020669
HIP
NY
05
—
02546885
—
NY
01
—
175564
ELDERPLAN
NY
01
—
2354169
UNITED HEALTH CARE
NY
01
—
281691A
MAGNACARE
NY
01
—
6697876
GHI
NY
01
—
839874
MPN EMPIRE PLAN
NY
01
—
P3317663
OXFORD
NY
Enumeration date
05/04/2007
Last updated
08/22/2020
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