Organization
200 BROADWAY PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARHAD ROSTAMI PT (DIRECTOR)
(914) 631-1919
Entity
Organization
Contact information
Practice address
200 S BROADWAY STE 2-2, TARRYTOWN, NY 10591-4500
(914) 631-1919
(914) 631-1943
Mailing address
200 S BROADWAY STE 2-2, TARRYTOWN, NY 10591-4500
(914) 631-1919
(914) 631-1943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
027552
NY
Other
Enumeration date
11/27/2015
Last updated
01/20/2016
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