Organization
NORTHERN BRONX PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILRAY D BANAWIS PT (PRESIDENT)
(718) 344-6089
Entity
Organization
Contact information
Practice address
665 PELHAM PKWY N, #2D, BRONX, NY 10467-8068
(718) 231-1877
Mailing address
PO BOX 69, YONKERS, NY 10710-0069
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
016043
NY
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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