# HERSTEL THERAPIE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023822244
- **Authorized official:** EBENEZER A AWOLESI (OWNER)
- **Authorized official phone:** (718) 909-4660

## Contact information

- **Practice address:** 191 BRADLEY AVE, STATEN ISLAND, NY 10314-5166
- **Practice address phone:** (718) 698-8800
- **Mailing address:** 48 RESERVOIR RD, HACKETTSTOWN, NJ 07840-5647
- **Mailing address phone:** (718) 909-4660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/06/2025