Organization
KINETIX PROFESSIONAL MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO SANAHON JR. (PHYSICAL THERAPIST)
(646) 707-1957
Entity
Organization
Contact information
Practice address
4207 GLEANE ST, ELMHURST, NY 11373-2748
(646) 707-1957
Mailing address
4207 GLEANE ST, ELMHURST, NY 11373-2748
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
031626-1
NY
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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