Organization · NPI-2

360 Physical Therapy Wellness PC

Physical Therapist · New York, NY

NPI number1053906271
StatusActive
Last updated in NPPESJun 17, 2024

Details

NPI
1053906271
Entity type
Organization (NPI-2)
Legal business name
360 Physical Therapy Wellness PC
Organization subpart
No
Enumeration date
Mar 9, 2021
Certification date
Jun 17, 2024
Last updated
Jun 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

51 E 125th St Frnt 3
New York, NY 10035-1688

Phone 646-397-3454

Mailing address

51 E 125th St Ste 3e
New York, NY 10035-1685

Authorized official

Jack Zuckerman
President
6463973454

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