Organization
BRONX PHYSICAL THERAPY AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL IGNACIO (PT)
(914) 843-8224
Entity
Organization
Contact information
Practice address
984 MORRIS PARK AVE, BRONX, NY 10462-3714
(718) 823-7676
(718) 823-7675
Mailing address
1418 ROUTE 300, NEWBURGH, NY 12550-2992
(845) 566-4202
(845) 566-4238
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
011191
NY
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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