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Organization
PHYSIOCARE PHYSICAL THERAPY, PC
Active
Organization
PHYSIOCARE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRIOS KOSTOPOULOS PT, PHD, DSC (OWNER)
(718) 707-6970
Entity
Organization
Contact information
Practice address
57 W 57TH ST, SUITE 1406, NEW YORK, NY 10019-2802
(212) 399-3800
(212) 399-3822
Mailing address
3270 31ST ST, ASTORIA, NY 11106-2643
(718) 707-6970
(718) 732-2864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011188-1
NY
Other
Enumeration date
10/17/2008
Last updated
03/11/2009
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