Organization
MAF REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIEVIC B EBORA FERNANDO DPT (MANAGER)
(347) 788-7818
Entity
Organization
Contact information
Practice address
3720 PRINCE ST STE 2F, FLUSHING, NY 11354-4499
(347) 788-7818
Mailing address
3720 PRINCE ST STE 2F, FLUSHING, NY 11354-4499
(347) 788-7818
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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