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Organization
DYNACARE PHYSICAL THERAPY, PLLC
Active
Organization
DYNACARE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE G LEE (PHYSICAL THERAPIST)
(646) 209-2256
Entity
Organization
Contact information
Practice address
4511 43RD AVE APT 3A, SUNNYSIDE, NY 11104-1941
(646) 209-2256
(718) 729-2901
Mailing address
4511 43RD AVE APT 3A, SUNNYSIDE, NY 11104-1941
(646) 209-2256
(718) 729-2901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477651909
NPI (INDIVIDUAL)
NY
Enumeration date
08/01/2012
Last updated
08/01/2012
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