Organization
BODY AND BALANCE PHYSICAL THERAPY,PC
Active
Other names
Millennium Physical Therapy & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODOSIOS NEAMONITIS DPT (PRESIDENT)
(718) 428-9369
Entity
Organization
Contact information
Practice address
19413 NORTHERN BLVD, FLUSHING, NY 11358-3032
(718) 428-9369
(718) 423-9825
Mailing address
22415 HORACE HARDING EXPY, OAKLAND GARDENS, NY 11364-2301
(646) 577-5661
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
62028308
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62028308
LICENSE
NY
Enumeration date
01/17/2007
Last updated
08/22/2020
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