Organization
EXCELIFE PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM S. VU (DIRECTOR)
(917) 922-8830
Entity
Organization
Contact information
Practice address
13237 41ST RD, SUITE102, FLUSHING, NY 11355-4235
(718) 321-3600
Mailing address
5651 208TH ST, BAYSIDE, NY 11364-1732
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
037057
NY
Other
Enumeration date
01/05/2014
Last updated
01/05/2014
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