Organization
CENTURION PHYSICAL THERAPY
Active
Other names
Forman Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS FORMAN D.P.T (OWNER)
(212) 799-6700
Entity
Organization
Contact information
Practice address
152 W 57TH ST FL 6, NEW YORK, NY 10019-3310
(212) 799-6700
(212) 799-4533
Mailing address
152 W 57TH ST FL 6, NEW YORK, NY 10019-3310
(212) 799-6700
(212) 799-4533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0174861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346244878
PHYSICAL THERAPIST
NY
01
—
1700082823
PHYSICAL THERAPISTS
NY
Enumeration date
03/19/2007
Last updated
10/22/2020
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