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Organization
RIVERDALE PHYSICAL THERAPY PC
Active
Organization
RIVERDALE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERROLD MANN PT (PRESIDENT)
(718) 884-0444
Entity
Organization
Contact information
Practice address
2735 HENRY HUDSON PKWY, BRONX, NY 10463-4701
(718) 884-0444
(718) 549-0145
Mailing address
2735 HENRY HUDSON PKWY, BRONX, NY 10463-4701
(718) 884-0444
(718) 549-0145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000058810
GHI HMO
NY
01
—
000305900101
HEALTHPLUS
NY
01
—
001395A81
HEALTHFIRST
NY
01
—
0025501
ORTHONET HEALTHNET
NY
01
—
0030977
GHI
NY
01
—
25501
ORTHONET CIGNA
NY
01
—
4C8041
HEALTHNET
NY
01
—
90478
AETNA
NY
01
—
GS016
OXFORD
NY
01
—
M4252P
HIP
NY
01
—
Q10492
BLUE CROSS
NY
Enumeration date
07/08/2006
Last updated
04/14/2008
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