Connect Physical Therapy P.c.

NPI 1124365762 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1124365762
Enumeration Date 01/15/2013
Last Updated 01/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MA GIRLIE OLMEDO MA GIRLIE
Position PHYSICAL THERAPIST
Phone (516) 721-7504
Fax
Practice Location
9118 VANDERVEER ST
QUEENS VILLAGE NY, 11428-1242, US
Phone (516) 721-7504
Fax
Business Location
9118 VANDERVEER ST
QUEENS VILLAGE NY, 11428-1242, US
Phone
Fax
Toxanomy
Taxonomy Code 302F00000X
License State New York
License Number 014002
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According to our database, Connect Physical Therapy P.c. NPI is 1124365762, taxonomy code is 302F00000X and license number is 014002, license state is located at New York. Connect Physical Therapy P.c. physically located at 9118 Vanderveer St, Queens Village NY, 11428-1242. NPI Number 1033115704 has the healthcare provider type.

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1124365762 NPI number is provided on an as is basis without warranty of any kind. 1124365762 is maintained by the National Plan & Provider Enumeration System. The contents of Connect Physical Therapy P.c. are for informational purposes only.