Organization
M.T.C.B . INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA THERESA CRUZATE BIHASA PT, DPT (PRESIDENT)
(516) 354-0514
Entity
Organization
Contact information
Practice address
31 TERRACE AVE, FLORAL PARK, NY 11001-2914
(516) 354-0514
Mailing address
31 TERRACE AVE, FLORAL PARK, NY 11001-2914
(516) 354-0514
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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