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Organization
COMMUNITY PHYSICAL THERAPY
Active
Organization
COMMUNITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSLYN SOFER P.T. (OWNER)
(718) 424-9531
Entity
Organization
Contact information
Practice address
6284 WOODHAVEN BLVD, REGO PARK, NY 11374-3738
(718) 424-9531
(718) 424-2695
Mailing address
6284 WOODHAVEN BLVD, REGO PARK, NY 11374-3738
(718) 424-9531
(718) 424-2695
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
002159
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANC 1250
OXFORD PROVIDE NUMBER
NY
01
—
Q24011
BC/BS PROVIDER NUMBER
NY
Enumeration date
10/18/2006
Last updated
07/30/2008
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