Organization
CENTURION PHYSICAL THERAPY
Active
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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