Organization
ACTIVE UNITED CARE PHYSICAL THERAPY, PLLC
Active
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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