Organization
TARGET PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA TOLBA PT (PRESIDENT)
(347) 651-7308
Entity
Organization
Contact information
Practice address
483 INGRAM AVE, STATEN ISLAND, NY 10314-4414
(718) 238-3892
Mailing address
483 INGRAM AVE, STATEN ISLAND, NY 10314-4414
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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