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Organization
ELITE CARE PHYSICAL THERAPY REHAB.P.C.
Active
Organization
ELITE CARE PHYSICAL THERAPY REHAB.P.C.
Active
Other names
elite care rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE FISHWEICHER PTMS (DIRECTOR)
(212) 927-3422
Entity
Organization
Contact information
Practice address
630 FORT WASHINGTON AVE, NEW YORK, NY 10040-3900
(212) 927-3422
(212) 927-9250
Mailing address
630 FORT WASHINGTON AVE, NEW YORK, NY 10040-3900
(212) 927-3422
(212) 927-9250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005975-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10764994
INDIVIDUAL CAQH NUMBER
NY
01
—
1750383147
INDIVIDUAL NPI NUMBER
NY
01
—
1801017587
INDIVIDUAL NPI NUMBER
NY
01
—
1891709770
INDIVIDUAL NPI NUMBER
NY
Enumeration date
05/17/2007
Last updated
03/25/2008
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