Organization
ADVANCE AT HOME PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAJAN JOHNSON MSPT (PHYSICAL THERAPIST)
(516) 946-8624
Entity
Organization
Contact information
Practice address
39 EAST ST, NEW HYDE PARK, NY 11040-1322
(516) 946-8624
(516) 214-6563
Mailing address
39 EAST ST, NEW HYDE PARK, NY 11040-1322
(516) 946-8624
(516) 214-6563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024884-1
NY
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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