Executive Park Physical Therapy

NPI 1013044353 - Physical Therapist - 225100000X

NPI Details
NPI 1013044353
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name IVAN IVAN
Position OWNER
Phone (914) 509-4640
Fax
Practice Location
1034 N BROADWAY
YONKERS NY, 10701-1303, US
Phone (914) 509-4640
Fax
Business Location
1034 N BROADWAY
YONKERS NY, 10701-1303, US
Phone (914) 509-4640
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 023806
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According to our database, Executive Park Physical Therapy NPI is 1013044353, taxonomy code is 225100000X and license number is 023806, license state is located at New York. Executive Park Physical Therapy physically located at 1034 N Broadway, Yonkers NY, 10701-1303. NPI Number 1033115704 has the healthcare provider type.

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1013044353 NPI number is provided on an as is basis without warranty of any kind. 1013044353 is maintained by the National Plan & Provider Enumeration System. The contents of Executive Park Physical Therapy are for informational purposes only.