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Organization
TRIBORO CARE PT PC
Active
Organization
TRIBORO CARE PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TAWDROS PT (OWNER)
(718) 886-1150
Entity
Organization
Contact information
Practice address
13302 41ST AVE, FLUSHING, NY 11355-5848
(718) 886-1150
(718) 886-1185
Mailing address
235 SHERIDAN BLVD, MINEOLA, NY 11501-3220
(718) 886-1150
(718) 886-1185
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
027797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027797
LICENSE
NY
01
—
WYP1P1
MEDICARE GROUP ID
NY
Enumeration date
03/14/2008
Last updated
03/14/2008
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