Organization
VILLAGE PHYSICAL THERAPY, CHIROPRACTIC&ACUPUNCTURE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK GIOVANELLI DC (OWNER/MANAGER)
(718) 429-6630
Entity
Organization
Contact information
Practice address
6135 WOODHAVEN BLVD, REGO PARK, NY 11374-2739
(718) 429-6630
(718) 429-6584
Mailing address
6133 WOODHAVEN BLVD, REGO PARK, NY 11374-2739
(718) 429-6630
(718) 429-6584
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
003238
NY
261Q00000X
Clinic/Center
007331
NY
261QP2000X
Physical Therapy Clinic/Center
Primary
018233
NY
Other
Enumeration date
02/07/2014
Last updated
06/30/2021
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