Organization
MANJOORSA PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL MANJOORSA (PHYSICAL THERAPIST/ DIRECTOR)
(347) 968-8304
Entity
Organization
Contact information
Practice address
8411 QUEENS BLVD, ELMHURST, NY 11373-3098
(347) 968-8304
Mailing address
8411 QUEENS BLVD, ELMHURST, NY 11373-3098
(347) 968-8304
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
027648
NY
Other
Enumeration date
07/06/2011
Last updated
01/17/2020
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