Organization
COMPLETE BODY PHYSICAL THERAPY 1 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARTOSZ NIKICIUK MPT (CLINICAL DIRECTOR)
(212) 248-3030
Entity
Organization
Contact information
Practice address
22 W 19TH ST, NEW YORK, NY 10011-4204
(212) 248-3030
(212) 248-3033
Mailing address
80 JOHN ST, NEW YORK, NY 10038-2806
(212) 248-3030
(212) 248-3033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
026282-1
NY
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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