Organization
CONSOLACION O ESTRELLA PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSOLACION O ESTRELLA (PHYSICAL THERAPIST)
(718) 863-7774
Entity
Organization
Contact information
Practice address
787 LYDIG AVENUE, BRONX, NY 10462-2144
(718) 863-7774
(718) 792-0288
Mailing address
787 LYDIG AVENUE, BRONX, NY 10462-2144
(718) 863-7774
(718) 792-0288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02693281
—
NY
Enumeration date
04/16/2007
Last updated
01/31/2013
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