Organization
BP PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADONIS ABRIL QUIAMBAO (PRINCIPAL OFFICER/OWNER)
(201) 936-0565
Entity
Organization
Contact information
Practice address
690 METROPOLITAN AVE, BROOKLYN, NY 11211-3712
(718) 388-8888
(718) 388-3709
Mailing address
690 METROPOLITAN AVE, BROOKLYN, NY 11211-3712
(718) 388-8888
(718) 388-3709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023966
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021901
ORTHONET
NY
01
—
11514299
CAQH
NY
01
—
2822127
AETNA HMO
NY
01
—
7795346
AETNA PPO
NY
01
—
841850
MPN
NY
01
—
8863880
CIGNA
NY
Enumeration date
06/15/2006
Last updated
01/31/2008
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