Provider Demographics
NPI:1679649883
Name:SANVIN PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:SANVIN PHYSICAL THERAPY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:SANTOS
Authorized Official - Last Name:VINLUAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSPT
Authorized Official - Phone:212-420-7280
Mailing Address - Street 1:371 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6447
Mailing Address - Country:US
Mailing Address - Phone:212-420-7280
Mailing Address - Fax:212-420-7422
Practice Address - Street 1:371 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6447
Practice Address - Country:US
Practice Address - Phone:212-420-7280
Practice Address - Fax:212-420-7422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021012174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02204222Medicaid
NY204250700OtherACS
NY2051335OtherUNITED HEALTH CARE
NY6603754OtherGHI
NYQA7141OtherMEDICARE-INDIVIDUAL
NYQYW191OtherMEDICARE-GROUP
NY1461986OtherMAGNACARE PPO MAX
NY04761GOtherGHI MEDICARE
NY1000036361OtherAFFINITY
NY132123POtherHIP
NY2460766OtherOXFORD
NY2460766OtherOXFORD
NYQYW191OtherMEDICARE-GROUP