Organization
BROADWAY PT CORP
Active
Organization
BROADWAY PT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASRIN JAVIDAN (DIRECTOR)
(914) 631-1919
Entity
Organization
Contact information
Practice address
200 S BROADWAY, 2-2, TARRYTOWN, NY 10591-4500
(914) 631-1919
Mailing address
200 S BROADWAY, 2-2, TARRYTOWN, NY 10591-4500
(914) 631-1919
(914) 631-1943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014644
NY
Other
Enumeration date
05/10/2013
Last updated
05/01/2015
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