Organization
PHYSICAL THERAPY FOR YOU PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALELI GAMBOA PT (PRESIDENT)
(347) 576-1607
Entity
Organization
Contact information
Practice address
70 AVENUE O, BROOKLYN, NY 11204-6448
(347) 576-1604
Mailing address
70 AVENUE O, BROOKLYN, NY 11204-6448
(347) 576-1604
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
027490
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027490
LICENSE
NY
Enumeration date
03/30/2012
Last updated
03/30/2012
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