Organization
ANDORA PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMADIKA BIENTA HOSPEDALES MSPT (OWNER/PT)
(917) 642-5169
Entity
Organization
Contact information
Practice address
350 WARWICK AVE, MOUNT VERNON, NY 10553-1814
(917) 642-5169
Mailing address
350 WARWICK AVE, MOUNT VERNON, NY 10553-1814
(917) 642-5169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024372-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831343433
NPI
NY
Enumeration date
12/06/2011
Last updated
12/06/2011
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