# BRONX REHABILITATION MEDICINE & PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750572897
- **Authorized official:** DR. ALBERT VILLAFUERTE MD (PROPRIETOR)
- **Authorized official phone:** (718) 823-7676

## Contact information

- **Practice address:** 984 MORRIS PARK AVE, BRONX, NY 10462-3714
- **Practice address phone:** (718) 823-7676
- **Practice address fax:** (718) 823-7675
- **Mailing address:** 984 MORRIS PARK AVE, BRONX, NY 10462-3714
- **Mailing address phone:** (718) 823-7676
- **Mailing address fax:** (718) 823-7675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 202599 | NY | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 08/17/2011