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Summit Care Physical Therapy P.C.

Physical Therapist in Woodside, NY. Organization (NPI-2).

NPI number1063019388
StatusActive
Last updated in NPPESOct 16, 2020

Details

NPI
1063019388
Entity type
Organization (NPI-2)
Legal business name
Summit Care Physical Therapy P.C.
Organization subpart
No
Enumeration date
Oct 9, 2020
Certification date
Oct 16, 2020
Last updated
Oct 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

3759 61st St Ste M2
Woodside, NY 11377-2590

Phone 718-424-2273 · Fax 718-424-2278

Mailing address

3759 61st St Ste M2
Woodside, NY 11377-2590

Phone 718-424-2273 · Fax 718-424-2278

Authorized official

Joart Dongallo Aspera
Vice President
9177832805

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