# NBC HEALTH PHYSICAL THERAPY P.C.

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

## Provider details

- **NPI number:** 1952885980
- **Authorized official:** NATHANIEL BREX ROA CAYETUNA DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (646) 714-1392

## Contact information

- **Practice address:** 13668 ROOSEVELT AVE RM 802, FLUSHING, NY 11354-5510
- **Practice address phone:** (718) 886-6850
- **Practice address fax:** (718) 886-6037
- **Mailing address:** 13668 ROOSEVELT AVE RM 802, FLUSHING, NY 11354-5510
- **Mailing address phone:** (718) 886-6850
- **Mailing address fax:** (718) 886-6037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2018
- **Last updated:** 09/15/2018