Organization
SYNERGY PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KISHORE KANDURI PT (PHYSICAL THERAPIST)
(201) 957-5864
Entity
Organization
Contact information
Practice address
400 ROUTE 211 E STE 12, MIDDLETOWN, NY 10940-2123
(201) 957-5864
Mailing address
400 ROUTE 211 EAST, SUITE 12, MIDDLETOWN, NY 10940
(201) 957-5864
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
015851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740226281
INDIVIDUAL NPI
NY
Enumeration date
11/09/2015
Last updated
11/09/2015
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