Organization
DYNAMIC PHYSICAL THERAPY REHAB OF NY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINCHIN NONOG (OWNER)
(213) 884-5987
Entity
Organization
Contact information
Practice address
157 ANDREWS RD, MINEOLA, NY 11501-2345
(213) 884-5987
(718) 228-7628
Mailing address
157 ANDREWS RD, MINEOLA, NY 11501-2345
(213) 884-5987
(718) 228-7628
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
10/11/2024
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