Organization
A.M. DE JESUS PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER DE JESUS (PRESIDENT)
(718) 835-8031
Entity
Organization
Contact information
Practice address
8708 JUSTICE AVE, SUITE LA, ELMHURST, NY 11373-4575
(718) 651-5713
(718) 651-5714
Mailing address
10742 92ND ST, OZONE PARK, NY 11417-1504
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
024359
NY
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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