Organization
DYNAKINETICS PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT ANDRY M VILLANUEVA DPT (PHYSICAL THERAPIST)
(917) 645-3620
Entity
Organization
Contact information
Practice address
11605 MYRTLE AVE, RICHMOND HILL, NY 11418-1749
(718) 850-7100
(718) 850-7200
Mailing address
8431 VAN WYCK EXPY APT 3J, BRIARWOOD, NY 11435-2611
(917) 645-3620
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
031185
NY
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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