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Organization
OTHNIEL PHYSICAL THERAPY PC
Active
Organization
OTHNIEL PHYSICAL THERAPY PC
Active
Parent organization
OTHNIEL PHYSICAL THERAPY PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTHNIEL PHYSICAL THERAPY PC
Authorized official
ELIAN RAMEZANI DPT (PRESIDENT, CEO)
(917) 334-5552
Entity
Organization
Contact information
Practice address
444 MIDDLENECK RD, SUITE 1H, GREATNECK, NY 11023
(917) 334-5552
(516) 570-6282
Mailing address
444 MIDDLENECK RD, SUITE 1H, GREATNECK, NY 11023
(917) 334-5552
(516) 570-6282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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