Organization
RECOVERY PT REHAB, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASNODIN DIANALAN (PRESIDENT)
(646) 441-0362
Entity
Organization
Contact information
Practice address
15054 COOLIDGE AVE, JAMAICA, NY 11432-1622
(718) 880-2886
Mailing address
15054 COOLIDGE AVE, JAMAICA, NY 11432-1622
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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