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Organization
FIDELITY PHYSICAL THERAPY AND REHABILITATION PT,PC
Active
Organization
FIDELITY PHYSICAL THERAPY AND REHABILITATION PT,PC
Active
Other names
fidelity physical therapy and rehabilitation pt,pc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENEDITO PAULINO DA SILVA PT (PRESIDENT)
(718) 803-8078
Entity
Organization
Contact information
Practice address
4047 75TH ST FL 1, ELMHURST, NY 11373-1011
(718) 803-8078
(718) 803-3568
Mailing address
4047 75TH ST FL 1, ELMHURST, NY 11373-1011
(718) 803-8078
(718) 803-3568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023904-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03134654
—
NY
Enumeration date
11/12/2009
Last updated
01/27/2022
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