Organization
VERNON REHAB & PHYSICAL THERAPY PC
Active
Other names
west Nyack sports medicine &physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SAJAN AUGUSTINE PHYSICAL THERAPIST (PRESIDENT)
(914) 843-4155
Entity
Organization
Contact information
Practice address
2 STRAWTOWN RD, SUITE 4,5, WEST NYACK, NY 10994-3514
(845) 358-0019
(845) 358-3921
Mailing address
2 STRAWTOWN RD, SUITE 4, 5, WEST NYACK, NY 10994-3514
(845) 358-0019
(845) 358-3921
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
021666-1
NY
320700000X
Physical Disabilities Residential Treatment Facility
021666-1
NY
Other
Enumeration date
11/16/2008
Last updated
05/22/2013
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