Organization
NY SPORTSMED AND PHYSICAL THERAPY
Active
Organization
NY SPORTSMED AND PHYSICAL THERAPY
Active
Other names
Micheal J Neely DO PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM BANKS (CEO)
(212) 750-1110
Entity
Organization
Contact information
Practice address
1841 BROADWAY, SUITE 1100, NEW YORK, NY 10023-7603
(212) 245-5500
(212) 245-5540
Mailing address
18 E 48TH ST, SUITE 901, NEW YORK, NY 10017-1014
(212) 750-1110
(212) 750-1170
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/14/2010
Last updated
01/07/2011
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