Organization
MOMENT PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIANNA FATA-CHAN (OWNER)
(734) 664-1649
Entity
Organization
Contact information
Practice address
2 W 45TH ST STE 201, NEW YORK, NY 10036-4269
(734) 664-1649
Mailing address
3055 VERNON BLVD, ASTORIA, NY 11102-4025
(734) 664-1649
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
05/08/2026
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