Organization
ACOSTA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO A ACOSTA DPT (PRESIDENT)
(516) 312-0082
Entity
Organization
Contact information
Practice address
6134 188TH ST, SUITE 208, FRESH MEADOWS, NY 11365-2719
(718) 264-1979
(718) 254-3020
Mailing address
219-32 64TH AVENUE, 3RD FLOOR, OAKLAND GARDENS, NY 11364
(516) 312-0082
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
028426-1
NY
Other
Enumeration date
01/07/2013
Last updated
09/05/2014
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