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Organization
EVERGREEN PHYSICAL THERAPY PC
Active
Organization
EVERGREEN PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR LAYSA (PRESIDENT)
(318) 542-1287
Entity
Organization
Contact information
Practice address
470 NEPPERHAN AVE, YONKERS, NY 10701-6651
(318) 542-1287
Mailing address
600 W 190TH ST, APT 2A, NEW YORK, NY 10040-4108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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