Organization
ST MARY FAMILY PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANY ZAKY (PRESIDENT)
(646) 258-7102
Entity
Organization
Contact information
Practice address
370 LARCH AVE, BOGOTA, NJ 07603-1008
(646) 258-7102
Mailing address
370 LARCH AVE, BOGOTA, NJ 07603-1008
(646) 258-7102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014906
NY
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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