Organization
JM PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK ROMOLO (MANAGER)
(772) 538-4047
Entity
Organization
Contact information
Practice address
112 E 61ST ST, NEW YORK, NY 10065-8514
(212) 867-1777
Mailing address
112 E 61ST ST, NEW YORK, NY 10065-8514
(212) 867-1777
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
023347
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023347
NY LICENSE
NY
Enumeration date
07/25/2012
Last updated
07/25/2012
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