Organization
2012 SMART PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO ALBERT REYES (PHYSICAL THERAPIST)
(347) 669-3828
Entity
Organization
Contact information
Practice address
10119 39TH AVE, LOWER LEVEL, CORONA, NY 11368-4806
(347) 669-3828
(347) 808-8326
Mailing address
10119 39TH AVE, LOWER LEVEL, CORONA, NY 11368-4806
(347) 669-3828
(347) 808-8326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025085-1
LICENSE NUMBER
NY
05
—
02761397
—
NY
Enumeration date
01/26/2012
Last updated
05/08/2012
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