Organization
PRIME PHYSICAL THERAPY & REHABILITATION, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVRIEL STANLEY PT (OWNER)
(718) 897-6869
Entity
Organization
Contact information
Practice address
6536 99TH STREET, SUITE 1D, REGO PARK, NY 11374-4316
(718) 897-6869
(718) 685-2101
Mailing address
6923 168TH STREET, FRESH MEADOWS, NY 11365
(347) 730-4606
(866) 310-5525
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2009
Last updated
01/23/2025
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