Organization
HADER PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN WINHEIM (CREDENTIALING AGENT)
(845) 680-6800
Entity
Organization
Contact information
Practice address
18 E 116TH ST, NEW YORK, NY 10029-1041
(212) 828-8844
(718) 524-6228
Mailing address
18 E 116TH ST, NEW YORK, NY 10029-1041
(212) 828-8844
(718) 524-6228
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03224531
—
NY
Enumeration date
10/03/2011
Last updated
10/03/2011
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