Manoj Bora
Physical Therapist in Elmhurst, NY. Individual provider (NPI-1).
NPI number1043671209
StatusActive
Last updated in NPPESMar 16, 2016
Details
- NPI
- 1043671209
- Entity type
- Individual (NPI-1)
- Name
- Manoj Bora
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2016
- Last updated
- Mar 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 033645 | NY | Yes |
Practice location
5910 Junction BlvdElmhurst, NY 11373-5156
Phone 718-255-6999
Mailing address
5910 Junction BlvdElmhurst, NY 11373-5156
Phone 718-255-6999
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