Organization
BRONX PHYSICAL THERAPY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BLUM P.T. (OWNER)
(718) 904-9581
Entity
Organization
Contact information
Practice address
3611 E TREMONT AVE, BRONX, NY 10465-2009
(718) 904-9581
(718) 931-0125
Mailing address
3611 E TREMONT AVE, BRONX, NY 10465-2009
(718) 904-9581
(718) 931-0125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006745-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021702
AETNA ORTHONET ID#
NY
01
—
21701
ORTHONET ID#
NY
01
—
7870
AETNA HMO #
NY
01
—
8450289
AETNA PPO GROUP#
NY
01
—
CM3831
RAILROAD MEDICARE GROUP#
NY
Enumeration date
10/27/2006
Last updated
03/03/2017
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