# MOVEMENT POTENTIAL NY INC

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

## Provider details

- **NPI number:** 1962824185
- **Authorized official:** MRS. SONIA R ORTIZ MA, PT (DIRECTOR)
- **Authorized official phone:** (917) 826-7715

## Contact information

- **Practice address:** 16328 19TH AVE, WHITESTONE, NY 11357-3339
- **Practice address phone:** (917) 826-7715
- **Practice address fax:** (718) 352-9440
- **Mailing address:** 16328 19TH AVE, WHITESTONE, NY 11357-3339
- **Mailing address phone:** (917) 826-7715
- **Mailing address fax:** (718) 352-9440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 007955 | NY | Yes |

## Other

- **Enumeration date:** 01/07/2014
- **Last updated:** 01/07/2014
