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Organization
LONG ISLAND CITY PHYSICAL THERAPY, PLLC
Active
Organization
LONG ISLAND CITY PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN BRANCALE M.S.P.T. (DIRECTOR PHYSICAL THERAPY)
(718) 943-7100
Entity
Organization
Contact information
Practice address
1043 48TH AVE, LONG ISLAND CITY, NY 11101-5607
(718) 943-7100
(718) 786-9798
Mailing address
1043 48TH AVE, LONG ISLAND CITY, NY 11101-5607
(718) 943-7100
(718) 786-9798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022838-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11452885
CAQH PROVIDER ID
NY
Enumeration date
09/15/2006
Last updated
03/22/2010
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