Organization
39TH AVENUE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORINA GALARAGA PT (PHYSICAL THERAPIST)
(917) 742-0221
Entity
Organization
Contact information
Practice address
103-18C 39 AVE, CORONA, NY 11368
(718) 709-7583
(718) 942-9341
Mailing address
103-18C 39AVE, CORONA, NY 11368
(718) 709-7583
(718) 942-9341
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
028369
NY
Other
Enumeration date
12/28/2016
Last updated
11/30/2017
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