Organization
ACTIVE UNITED CARE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TAWDROS DPT (PESIDENT)
(516) 710-6965
Entity
Organization
Contact information
Practice address
17119 HILLSIDE AVE, JAMAICA, NY 11432-4548
(516) 710-6965
Mailing address
22 GLENN DR, WOODBURY, NY 11797-2104
(516) 710-6965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
10/02/2020
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