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Organization
CENTRAL PARK PHYSICAL MEDICINE AND REHABILITATION P.C.
Active
Organization
CENTRAL PARK PHYSICAL MEDICINE AND REHABILITATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN GAINES (VP)
(212) 957-1930
Entity
Organization
Contact information
Practice address
2825 THIRD AVENUE, 4TH FLOOR, BRONX, NY 10455-4003
(718) 401-3000
Mailing address
10 E 39TH ST FL 3, NEW YORK, NY 10016-0104
(212) 957-1930
(212) 659-4385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X009347
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
176407
NY
Other
Enumeration date
12/01/2006
Last updated
03/29/2022
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