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Organization
EM PHYSICAL THERAPY PC
Active
Organization
EM PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MORDUKHAY (PRESIDENT)
(718) 396-1000
Entity
Organization
Contact information
Practice address
9254 QUEENS BLVD, REGO PARK, NY 11374-1040
(718) 396-1000
Mailing address
9254 QUEENS BLVD, REGO PARK, NY 11374-1040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021832
NY
225100000X
Physical Therapist
022991
NY
225X00000X
Occupational Therapist
013231
NY
Other
Enumeration date
07/12/2006
Last updated
09/11/2025
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