Organization
ADVANCE CARE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL MASTOV DPT (PRESIDENT)
(347) 255-8255
Entity
Organization
Contact information
Practice address
6360 98TH ST, STE A3, REGO PARK, NY 11374-2238
(718) 664-0590
Mailing address
6360 98TH ST, STE A3, REGO PARK, NY 11374-2238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029091
NY
Other
Enumeration date
04/11/2007
Last updated
08/11/2020
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