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Organization
PRIME PHYSICAL THERAPY & REHABILITATION PC
Active
Organization
PRIME PHYSICAL THERAPY & REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY GAVRIEL D.P.T. (PRESIDENT)
(718) 304-4898
Entity
Organization
Contact information
Practice address
22 W 21ST ST STE 404, NEW YORK, NY 10010-6936
(718) 304-4898
Mailing address
22 W 21ST ST STE 404, NEW YORK, NY 10010-6936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851561328
—
NY
Enumeration date
10/06/2008
Last updated
10/06/2008
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