Organization
CENTRAL PARK PHYSICAL MEDICINE AND REHABILITATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN GAINES (VP)
(212) 957-1930
Entity
Organization
Contact information
Practice address
2825 THIRD AVENUE, 4TH FLOOR, BRONX, NY 10455-4003
(718) 401-3000
Mailing address
10 E 39TH ST FL 3, NEW YORK, NY 10016-0104
(212) 957-1930
(212) 659-4385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X009347
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
176407
NY
Other
Enumeration date
12/01/2006
Last updated
03/29/2022
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