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Organization
PROMET PHYSICAL THERAPY, PC
Active
Organization
PROMET PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN SAMODULSKI PT, DPT (PARTNER)
(718) 880-2385
Entity
Organization
Contact information
Practice address
12308 METROPOLITAN AVE, KEW GARDENS, NY 11415-2710
(718) 880-2385
(718) 880-2386
Mailing address
6317 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-1606
(718) 554-6610
(718) 360-4908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028654
NY
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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