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Organization

PREMIER PHYSICAL THERAPY & WELLNESS OF THE UPPER WESTSIDE PC

Active
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Organization

PREMIER PHYSICAL THERAPY & WELLNESS OF THE UPPER WESTSIDE PC

Active
Other names
Premier Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MARYANNE NOLAN (DIRECTOR)
(212) 861-2630
Entity
Organization

Contact information

Practice address
132 W 96TH ST, SUITE 1A, NEW YORK, NY 10025-6418
(212) 249-2758
(212) 249-2506
Mailing address
1536 3RD AVE, 5TH FL, NEW YORK, NY 10028-2167
(212) 861-2630
(212) 861-2685

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—

Other

Enumeration date
08/07/2012
Last updated
11/26/2014
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