Organization
AVENT PRO-FIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DIMITRI KALEN (PRESIDENT / CLINICAL DIRECTOR)
(917) 533-0334
Entity
Organization
Contact information
Practice address
6309 ALDERTON ST, REGO PARK, NY 11374-2824
(718) 803-1255
(718) 713-8232
Mailing address
6309 ALDERTON ST, REGO PARK, NY 11374-2824
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
024044
NY
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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