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Organization
WHITESTONE PHYSICAL THERAPY OF QUEENS PC
Active
Organization
WHITESTONE PHYSICAL THERAPY OF QUEENS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX ROBERT DIAZ P.T. (PRESIDENT)
(718) 746-8757
Entity
Organization
Contact information
Practice address
15012 14TH AVE, LL1, WHITESTONE, NY 11357-1800
(718) 746-8757
(718) 746-3069
Mailing address
15012 14TH AVE, LL1, WHITESTONE, NY 11357-1800
(718) 746-8757
(718) 746-3069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012082-1
NY
Other
Enumeration date
07/19/2005
Last updated
04/24/2013
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