Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gj, Physical Therapist

Organization Early Intervention Provider Agency · NPI 1184091068

Gj, Physical Therapist is an Early Intervention Provider Agency in Bayside, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

1822 Corporal Kennedy St
Bayside, NY 11360-1447
Phone: (646) 417-1300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 019910-1 (NY)

Record details

NPI number1184091068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gholamreza Jahanara — President · (646) 417-1300
NPI enumeratedAugust 27, 2015
Last updated in NPPESAugust 27, 2015
Mailing address18-22 Corporal Kennedy Street, Bayside, NY 11360

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