Organization
873 RT 45 PHYSICAL THERAPY, LLC
Active
Organization
873 RT 45 PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SERRANO PT (OWNER)
(845) 354-7779
Entity
Organization
Contact information
Practice address
873 ROUTE 45 STE 102, NEW CITY, NY 10956-1123
(845) 354-7779
Mailing address
873 ROUTE 45 STE 102, NEW CITY, NY 10956-1123
(845) 354-7779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027306-1
NY
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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