Organization
KYLE O FLAHERTY PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MARCUS DC (BILLING MANAGER)
(212) 421-1969
Entity
Organization
Contact information
Practice address
282 MARTIS PL, MAHWAH, NJ 07430-1318
(212) 421-1969
(212) 223-0198
Mailing address
282 MARTIS PL, MAHWAH, NJ 07430-1318
(212) 421-1969
(212) 223-0198
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043870
NY LICENSE
NY
Enumeration date
01/18/2020
Last updated
01/18/2020
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