Organization
2012 SMART PHYSICAL THERAPY, PC
Active
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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