Organization
PHYSIODYNAMICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS M NEGRON DPT (DOCTOR OF PHYSICAL THERAPY)
(718) 206-9839
Entity
Organization
Contact information
Practice address
14431 JAMAICA AVE, JAMAICA, NY 11435-3623
(718) 206-9839
(718) 206-2149
Mailing address
14431 JAMAICA AVE, JAMAICA, NY 11435-3623
(718) 206-9839
(718) 206-2149
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
010400-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225380017
NPI
NY
Enumeration date
02/16/2016
Last updated
02/16/2016
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