| NPI | 1720171374 |
|---|---|
| Doing Business As | NORTHERN BOULEVARD PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ZORINA R THOMAS-JACKSON Billing/Claims Manager 516-255-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |