Organization
873 RT 45 PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SERRANO MSPT (OWNER)
(845) 354-7779
Entity
Organization
Contact information
Practice address
873 ROUTE 45, SUITE 102, NEW CITY, NY 10956-1106
(845) 354-7779
(845) 354-7780
Mailing address
873 ROUTE 45, SUITE 102, NEW CITY, NY 10956-1106
(845) 354-7779
(845) 354-7780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027306
NY
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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