Organization
VISTA MEDICAL REHABILITATION P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIOLA FAMILUSI (ADMIN)
(718) 327-7307
Entity
Organization
Contact information
Practice address
2488 GRAND CONCOURSE, BRONX, NY 10458-5203
(718) 733-1000
Mailing address
529 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3645
(718) 327-7307
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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