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Organization
EASTSIDE REHAB PHYSICAL THERAPY PC
Active
Organization
EASTSIDE REHAB PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX GOMEZ DPT (PRESIDENT)
(212) 717-8330
Entity
Organization
Contact information
Practice address
215 E 73RD ST, SUITE 1B, NEW YORK, NY 10021-3653
(212) 717-8330
(212) 717-6235
Mailing address
215 E 73RD ST, SUITE 1B, NEW YORK, NY 10021-3653
(212) 717-8330
(212) 717-6235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018149
NY
Other
Enumeration date
03/12/2009
Last updated
06/26/2009
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