Organization
FUNCTION ENHANCING PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAOS SPIRATOS PT (PRESIDENT)
(718) 545-8877
Entity
Organization
Contact information
Practice address
27-10 ASTORIA BLVD, GROUND FLOOR, ASTORIA, NY 11102
(718) 545-8877
(718) 545-8879
Mailing address
2710 ASTORIA BLVD, ASTORIA, NY 11102-4358
(718) 545-8877
(718) 545-8879
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
024863-1
NY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03269716
—
NY
Enumeration date
10/26/2007
Last updated
07/21/2022
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