Organization
STATION PHYSICAL THERAPY
Active
Organization
STATION PHYSICAL THERAPY
Active
Other names
Manhattan Sports & Manual Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ANGELIQUE HENAO (OFFICE MANAGER)
(646) 487-2495
Entity
Organization
Contact information
Practice address
10 E 33RD STREET, 2ND FLOOR, NEW YORK, NY 10016
(646) 487-2495
(646) 487-2497
Mailing address
10 E 33RD STREET, NEW YORK, NY 10016
(646) 487-2495
(646) 487-2497
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
0139731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186709P
HIP
—
01
—
P2195022
OXFORD HEALTH
—
Enumeration date
04/06/2007
Last updated
08/22/2020
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