Organization
PRODYNAMIC CARE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LURLEEN DILIG PT (MEDICAL DIRECTOR)
(718) 386-8300
Entity
Organization
Contact information
Practice address
78-01 MYRTLE AVE, GLENDALE, NY 11385-7439
(718) 386-8300
(718) 386-0437
Mailing address
7801 MYRTLE AVE, GLENDALE, NY 11385-7439
(718) 386-8300
(718) 386-0437
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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