Organization
ADVANCE AT HOME PHYSICAL THERAPY P.C.
Active
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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