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Organization
FIFTH AVENUE PHYSICAL THERAPY, P.C.
Active
Organization
FIFTH AVENUE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IMELDA TAN PT (DIRECTOR)
(212) 661-8480
Entity
Organization
Contact information
Practice address
501 5TH AVE, SUITE 1108, NEW YORK, NY 10017-6107
(212) 661-8480
(212) 661-8481
Mailing address
9411 59TH AVE, # E14, ELMHURST, NY 11373-5187
(212) 661-8480
(212) 661-8481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026567
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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