Organization
DYNAMIC CARE OT, PT, SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE DAVILA PT,MPH (CEO)
(718) 286-9212
Entity
Organization
Contact information
Practice address
7540 AUSTIN ST, 3GR, FOREST HILLS, NY 11375-6248
(718) 286-9212
Mailing address
7540 AUSTIN ST, 3GR, FOREST HILLS, NY 11375-6248
(718) 286-9212
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
021147
NY
Other
Enumeration date
12/27/2011
Last updated
05/11/2013
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