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Organization
ELITE AQUATIC PHYSICAL THERAPY AND REHABILITATION, P.C.
Active
Organization
ELITE AQUATIC PHYSICAL THERAPY AND REHABILITATION, P.C.
Active
Other names
SINDO MANUAL PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL RAY DE GRACIA SINDO PT, CERT.MDT (OWNER)
(718) 996-1854
Entity
Organization
Contact information
Practice address
128-130 BRIGHTON BEACH AVENUE, SUITE 1, 3RD FLOOR, BROOKLYN, NY 11235-8372
(718) 996-1854
(718) 996-1694
Mailing address
128-130 BRIGHTON BEACH AVENUE, SUITE 1, 3RD FLOOR, BROOKLYN, NY 11235-8372
(718) 996-1854
(718) 996-1694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017724
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136977
GHI
NY
05
—
02657674
—
NY
01
—
03000005
HEALTHNET
NY
01
—
182224
ELDERPLAN
NY
01
—
2517079
UNITED HEALTHCARE
—
01
—
4473457
CIGNA
NY
01
—
P3740765
OXFORD
—
Enumeration date
11/13/2006
Last updated
03/12/2009
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