Organization
REVIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TORY BADALAMENTI PT (PRESIDENT)
(718) 619-2259
Entity
Organization
Contact information
Practice address
1330A ROCKLAND AVE, STATEN ISLAND, NY 10314-4944
(718) 619-2259
Mailing address
112 BIDWELL AVE, STATEN ISLAND, NY 10314-3177
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
17990
NY
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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