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Organization
PHYSIODYNAMICS PHYSICAL THERAPY PC
Active
Organization
PHYSIODYNAMICS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONATA GALLUCCIO PT MA (DIRECTOR)
(212) 721-5161
Entity
Organization
Contact information
Practice address
153 E 87TH ST, SUITE 10D, NEW YORK, NY 10128-2708
(212) 717-2323
Mailing address
153 E 87TH ST, SUITE 10D, NEW YORK, NY 10128-2708
(212) 717-2323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009657-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P586400
OXFORD HEALTH PLANS
NY
Enumeration date
09/24/2006
Last updated
12/20/2007
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