Organization
HERSTEL THERAPIE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBENEZER A AWOLESI (OWNER)
(718) 909-4660
Entity
Organization
Contact information
Practice address
191 BRADLEY AVE, STATEN ISLAND, NY 10314-5166
(718) 698-8800
Mailing address
48 RESERVOIR RD, HACKETTSTOWN, NJ 07840-5647
(718) 909-4660
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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