Organization
MOMENTUM PHYSICAL THERAPY. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA WEINER MSPT (PRESIDENT)
(845) 358-1166
Entity
Organization
Contact information
Practice address
120 5TH AVE, NYACK, NY 10960-1916
(845) 358-1166
Mailing address
120 5TH AVE, NYACK, NY 10960-1916
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
022337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508962580
NPI ENUMERATOR
NY
Enumeration date
04/06/2007
Last updated
06/28/2012
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