Organization
PLATINUM WELLNESS PHYSICAL THERAPY, P.C.
Active
Other names
Platinum Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI ROSEN P.T. (PRESIDENT)
(212) 452-2400
Entity
Organization
Contact information
Practice address
400 E 74TH ST, NEW YORK, NY 10021-3912
(212) 452-2400
Mailing address
400 E 74TH ST, NEW YORK, NY 10021-3912
(212) 452-2400
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770535379
INDIVIDUAL NPI
NY
01
—
A300000048
MEDICARE PTAN
—
Enumeration date
04/24/2009
Last updated
04/24/2009
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