Organization
PHYSIO HEALTH NY PT,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE MORCILLA PT (OWNER)
(347) 208-4511
Entity
Organization
Contact information
Practice address
11940 METROPOLITAN AVE, SUITE 105, KEW GARDENS, NY 11415-2600
(718) 880-1911
Mailing address
2536 27TH ST APT 1A, ASTORIA, NY 11102-2370
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
028547
NY
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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