Organization
ADVANCED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EFSTRATIOS ANTONIADIS PT (OWNER)
(718) 821-4216
Entity
Organization
Contact information
Practice address
6642 FOREST AVE, RIDGEWOOD, NY 11385-3153
(718) 821-4216
(718) 821-4253
Mailing address
6642 FOREST AVE, RIDGEWOOD, NY 11385-3153
(718) 821-4216
(718) 821-4253
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
013057
NY
Other
Enumeration date
10/17/2006
Last updated
06/16/2008
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