# BODY HACK HIGH PERFORMANCE PT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558941328
- **Authorized official:** MR. CARLOS HUMBERTO ZORRILLA PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (646) 238-3090

## Contact information

- **Practice address:** 1042 JACKSON AVE, LONG ISLAND CITY, NY 11101-5819
- **Practice address phone:** (718) 433-9909
- **Practice address fax:** (718) 433-9676
- **Mailing address:** 9972 66TH RD APT 1T, REGO PARK, NY 11374-4440
- **Mailing address phone:** (917) 733-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2021
- **Last updated:** 04/14/2021