N/A

STATEN ISLAND, NY
NPI1134676588
Entity TypeOrganization
Authorized ContactJOHN THOMAS
Physical Therapist
718-619-0170
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: NY  039429)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
N/A
25 FANNING ST
STATEN ISLAND, NY 10314-5307
Phone number: 718-698-2475
Mailing Address
N/A
657 COLLFIELD AVE
STATEN ISLAND, NY 10314-4258
Phone number: 718-698-2475