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Organization
QUEENS EARLY INTERVENTION PHYSICAL THERAPY
Active
Organization
QUEENS EARLY INTERVENTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL SHOYINKA DPT (PRESIDENT)
(347) 724-0141
Entity
Organization
Contact information
Practice address
4 LOHMANN PL, DUMONT, NJ 07628-1521
(347) 724-0141
Mailing address
4 LOHMANN PL, DUMONT, NJ 07628-1521
(347) 724-0141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023941
NY
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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