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Organization

ADCA PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABIMILECH DELA CRUZ ANOLA DPT (OWNER)
(646) 589-2495
Entity
Organization

Contact information

Practice address
4511 40TH ST APT 2F, SUNNYSIDE, NY 11104-3902
(646) 589-2495
Mailing address
4511 40TH ST APT 2F, SUNNYSIDE, NY 11104-3902
(646) 589-2495

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034420-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05754430
NY
Enumeration date
08/27/2018
Last updated
03/31/2020
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Product
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  • EDI platform