Organization
BAYSIDE PHYSICAL THERAPY&REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA TAN PHYSICAL THERAPIST (PRESIDENT)
(718) 459-3311
Entity
Organization
Contact information
Practice address
345 E 94TH ST, NEW YORK, NY 10128-5684
(212) 534-1500
Mailing address
10840 66TH AVE, FOREST HILLS, NY 11375-2242
(718) 459-3311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10504-01
NY
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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