Organization
48TH ST PHYSICAL THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN TUPAZ (OWNER)
(917) 583-3342
Entity
Organization
Contact information
Practice address
723 7TH AVE, RM 703, NEW YORK, NY 10019-6876
(212) 470-0360
Mailing address
723 7TH AVE, RM 703, NEW YORK, NY 10019-6876
(212) 470-0360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024252
NY
Other
Enumeration date
11/01/2013
Last updated
02/19/2015
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