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Organization
VEGAS TREATMENT
Active
Organization
VEGAS TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVY TANG (GENERAL MANAGER)
(718) 888-9778
Entity
Organization
Contact information
Practice address
13621 ROOSEVELT AVE STE 409, FLUSHING, NY 11354-5507
(718) 888-9778
(718) 799-5360
Mailing address
13621 ROOSEVELT AVE STE 409, FLUSHING, NY 11354-5507
(718) 888-9778
(718) 799-5360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029372
NY
Other
Enumeration date
09/14/2009
Last updated
11/30/2009
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