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Organization
QUEENS COUNTY PHYSICAL THERAPY AND WELLNESS,PC
Active
Organization
QUEENS COUNTY PHYSICAL THERAPY AND WELLNESS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLEEN BAUTISTA ANCIRO PT (PHYSICAL THERAPIST / OWNER)
(718) 279-2900
Entity
Organization
Contact information
Practice address
20014 44TH AVE, BAYSIDE, NY 11361-2510
(718) 279-2900
(718) 279-7958
Mailing address
20014 44TH AVE, BAYSIDE, NY 11361-2510
(718) 279-2900
(718) 279-7958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023716
NY
Other
Enumeration date
04/04/2008
Last updated
11/15/2013
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