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Organization
JMC PHYSICAL THERAPY PC
Active
Organization
JMC PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKY MARI CERVANTES (DOCTOR OF PHYSICAL THERAPY/ OWNER)
(646) 713-2575
Entity
Organization
Contact information
Practice address
909 MIDLAND AVE, GROUND FLOOR, YONKERS, NY 10704-1092
(646) 713-2575
(844) 573-8178
Mailing address
1333A NORTH AVE # 717, NEW ROCHELLE, NY 10804-2120
(845) 553-4607
(844) 573-8178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038891
STAFF PROVIDER LIC. NO.
NY
Enumeration date
07/14/2020
Last updated
07/14/2020
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