BALBOA PT

STATEN ISLAND, NY
NPI1811276876
Entity TypeOrganization
Authorized ContactJASON P LAMENDOLA
Physical Therapist
718-816-6500
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  0205341)
Enumeration Date2011-08-09
Last Update Date2014-12-10
Business Address
BALBOA PT
945 HUGUENOT AVE
STATEN ISLAND, NY 10312-4312
Phone number: 718-816-6500
Mailing Address
BALBOA PT
945 HUGUENOT AVE
STATEN ISLAND, NY 10312-4312
Phone number: 718-816-6500