Organization
CORE BASICS PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LKALED NASR DPT (OWNER)
(212) 300-7069
Entity
Organization
Contact information
Practice address
780 8TH AVE, STE # 201, NEW YORK, NY 10036-7000
(212) 300-7069
(212) 731-0267
Mailing address
1368 ACADEMY LN, TEANECK, NJ 07666-2112
(212) 300-7069
(212) 731-0267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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