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Organization

TORY PHYSICAL THERAPY PC

Active
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Organization

TORY PHYSICAL THERAPY PC

Active
Other names
Tory Badalamenti, Revive Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
JENINE FUCA (BILLING MANAGER)
(718) 948-7320
Entity
Organization

Contact information

Practice address
1330A ROCKLAND AVE, STATEN ISLAND, NY 10314-4944
(718) 619-2259
(718) 228-6731
Mailing address
7101 MINUTEMAN LN, SOMERSET, NJ 08873-6105
(718) 948-7320
(718) 448-8287

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017990
NY

Other

Enumeration date
06/02/2017
Last updated
06/16/2018
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