Organization
MALCAN PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL BUENAVENTURA DELA CRUZ P.T. (PRESIDENT)
(718) 749-6838
Entity
Organization
Contact information
Practice address
5011 QUEENS BLVD BSMT, WOODSIDE, NY 11377-4469
(718) 749-6838
(718) 343-2317
Mailing address
7805 270TH ST, NEW HYDE PARK, NY 11040-1527
(718) 749-6838
(718) 343-2317
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
017983-1
NY
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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