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Organization
ROADSIDE PHYSICAL THERAPY P.C
Active
Organization
ROADSIDE PHYSICAL THERAPY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAYSA YU ALIPIO PT (PRESIDENT)
(702) 335-2847
Entity
Organization
Contact information
Practice address
4011 WARREN ST, 2F, ELMHURST, NY 11373-1700
(718) 898-1015
(718) 396-0407
Mailing address
13333 83RD ST, 2F, OZONE PARK, NY 11417-1304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038663
NY
Other
Enumeration date
12/18/2016
Last updated
12/18/2016
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