Organization
OPTIMAL PTA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSCAR R RAGASA (OWNER)
(718) 606-9378
Entity
Organization
Contact information
Practice address
8716 QUEENS BLVD, GROUND LEVEL, ELMHURST, NY 11373-4419
(718) 606-9378
(718) 606-9360
Mailing address
8716 QUEENS BLVD, GROUND LEVEL, ELMHURST, NY 11373-4419
(718) 606-9378
(718) 606-9360
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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