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Organization

INTEGRATE NYC PHYSICAL THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. COLIN PAUL O'BANION DPT (OWNER/PHYSICAL THERAPIST)
(212) 256-0302
Entity
Organization

Contact information

Practice address
240 E 56TH ST, 4W, NEW YORK, NY 10022-3755
(212) 256-0302
(646) 304-8434
Mailing address
240 E 56TH ST, 4W, NEW YORK, NY 10022-3755
(212) 256-0302
(646) 304-8434

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0286921
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A300000286
MEDICARE PTAN
NY
Enumeration date
06/15/2015
Last updated
06/15/2015
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