Organization
ABANTE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDELL JACOB ABANTE (DPT/PRESIDENT)
(347) 462-7486
Entity
Organization
Contact information
Practice address
5034 69TH ST, WOODSIDE, NY 11377-7541
(718) 606-0366
Mailing address
9430 54TH AVE, ELMHURST, NY 11373-4614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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