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Organization
THERA DYNAMIC PHYSICAL THERAPY P.C
Active
Organization
THERA DYNAMIC PHYSICAL THERAPY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE-ZEL MAY CARINGAL ANDRES PT (PRESIDENT)
(347) 494-5684
Entity
Organization
Contact information
Practice address
7922 JAMAICA AVE, WOODHAVEN, NY 11421-1801
(347) 494-5684
(347) 494-5641
Mailing address
5043 213TH ST, BAYSIDE HILLS, NY 11364-1221
(917) 783-8616
(347) 732-9011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025591-0
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01941401
EMPIRE BCBS HEALTHPLUS
NY
05
—
02837832
—
NY
01
—
1263296P
EMBLEM HEALTH
NY
01
—
1760591465-01
VILLAGE CARE
NY
01
—
2766209
UNITED HEALTHCARE
NY
01
—
82ADC1
EMPIRE BCBS
NY
01
—
841087
OPTUM HEALTH
NY
01
—
OP025591
METROPLUS
NY
01
—
P4059437
OXFORD FREEDOM
NY
01
—
PH0434
ELDER PLAN
NY
01
—
PT025591-A85
HEALTHFIRST
NY
Enumeration date
10/13/2006
Last updated
05/07/2025
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