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Organization
FLUSHING PHYSICAL THERAPY REHAB SERVIES PC
Active
Organization
FLUSHING PHYSICAL THERAPY REHAB SERVIES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOY CAMACHO PT (PRESIDENT)
(718) 886-0556
Entity
Organization
Contact information
Practice address
13101 39TH AVE STE E4, FLUSHING, NY 11354-4420
(718) 886-0556
Mailing address
13101 39TH AVE STE E4, FLUSHING, NY 11354-4420
(718) 886-0556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851607352
NPI
NY
Enumeration date
12/20/2010
Last updated
12/20/2010
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