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Organization
MAMARONECK PHYSICAL THERAPY P.C.
Active
Organization
MAMARONECK PHYSICAL THERAPY P.C.
Active
Other names
Physical Therapy Associate of Queens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER BAUTISTA (ADMINISTRATOR)
(718) 606-0849
Entity
Organization
Contact information
Practice address
8202 GRAND AVE, SUITE 1A, ELMHURST, NY 11373-4133
(718) 606-0849
(718) 606-1077
Mailing address
8202 GRAND AVE, SUITE 1A, ELMHURST, NY 11373-4133
(718) 606-0849
(718) 606-1077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032724
NY
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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