Organization
NYC DOE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIFE ALFONSO-GUTIERREZ (PHYSICAL THERAPIST)
(718) 353-3150
Entity
Organization
Contact information
Practice address
12802 7TH AVE, COLLEGE POINT, NY 11356-1218
(718) 353-3150
Mailing address
95 MAYFAIR AVE, FLORAL PARK, NY 11001-2446
(516) 358-5320
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
022897
NY
Other
Enumeration date
12/26/2011
Last updated
12/26/2011
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