Organization
GENESIS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ABORISADE RPT (PRESIDENT/CEO)
(718) 415-3947
Entity
Organization
Contact information
Practice address
14622 222ND ST, SPRINGFIELD GARDENS, NY 11413-3835
(718) 415-3947
(718) 949-4243
Mailing address
14622 222ND ST, SPRINGFIELD GARDENS, NY 11413-3835
(718) 415-3947
(718) 949-4243
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
O22008
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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