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Organization
ST ANTHONY'S PHYSICAL THERAPY PC
Active
Organization
ST ANTHONY'S PHYSICAL THERAPY PC
Active
Other names
ST ANTHONY'S PHYSICAL THERAPY PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOULOS SAMUEL (DPT)
(212) 920-5452
Entity
Organization
Contact information
Practice address
7214 67TH PL, GLENDALE, NY 11385-6957
(212) 920-5452
Mailing address
7214 67TH PL, GLENDALE, NY 11385-6957
(212) 920-5452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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