Organization
ST KYROLLOS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL DIMIAN BACHELOR (OWNER)
(917) 442-3010
Entity
Organization
Contact information
Practice address
37 PEARSON ST, STATEN ISLAND, NY 10314-4789
(917) 442-3010
Mailing address
37 PEARSON ST, STATEN ISLAND, NY 10314-4789
(917) 442-3010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
026176
NY
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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