Organization
GENESIS THERAPEUTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAKESPEARE NGO PHYSICAL THERAPIST (PRESIDENT)
(917) 724-1018
Entity
Organization
Contact information
Practice address
6402 DEWEY AVE APT 13, WEST NEW YORK, NJ 07093-3090
(917) 724-1018
Mailing address
6402 DEWEY AVE APT 13, WEST NEW YORK, NJ 07093-3090
(917) 724-1018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0008162
FL
225100000X
Physical Therapist
01578F
LA
225100000X
Physical Therapist
Primary
017925-1
NY
225100000X
Physical Therapist
5004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017925-1
NYS PT LICENSE NUMBER
NY
01
—
395780
NYS EI DOH ID NUMBER
NY
Enumeration date
01/09/2018
Last updated
06/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us