Organization
410 PHYSICAL THERAPY PC
Active
Organization
410 PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN TUPAZ (OWNER)
(917) 757-1141
Entity
Organization
Contact information
Practice address
9050 PARSONS BLVD STE 410, JAMAICA, NY 11432-6052
(718) 687-2474
Mailing address
9050 PARSONS BLVD STE 410, JAMAICA, NY 11432-6052
(718) 687-2474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024252
NY
Other
Enumeration date
11/21/2014
Last updated
02/19/2015
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