| NPI | 1972963874 |
|---|---|
| Doing Business As | PARK AVENUE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH VANVYNCK Owner 516-637-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028860) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-22 |