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Organization

POLARIS PHYSICAL THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYMARIS ENRIQUEZ (CHIEF OF OPERATIONS)
(718) 715-4871
Entity
Organization

Contact information

Practice address
6529 GRAND AVE, MASPETH, NY 11378-2422
(718) 715-4871
(347) 503-4090
Mailing address
6529 GRAND AVE, MASPETH, NY 11378-2422
(718) 715-4871
(347) 503-4090

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
01/20/2022
Last updated
03/10/2022
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