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Organization
WELLNESS PHYSICAL THERAPY PC
Active
Organization
WELLNESS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK ERFAN PT (PRESIDENT)
(347) 591-4141
Entity
Organization
Contact information
Practice address
4226 3RD AVE, BRONX, NY 10457-4502
(347) 591-4141
(347) 591-4140
Mailing address
472 LINCOLN AVE, STATEN ISLAND, NY 10306-5441
(347) 591-4141
(347) 591-4140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017460
LICENSE
NY
Enumeration date
07/02/2014
Last updated
07/02/2014
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