Organization · NPI-2
43rd St. Physical Medicine And Rehabilitation, PLLC
Physical Therapist · New York, NY
NPI number1609149582
StatusActive
Last updated in NPPESFeb 22, 2012
Details
- NPI
- 1609149582
- Entity type
- Organization (NPI-2)
- Legal business name
- 43rd St. Physical Medicine And Rehabilitation, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2012
- Last updated
- Feb 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 033599-1 | NY | Yes |
Practice location
311 W 43rd StSuite 1101
New York, NY 10036-6413
Phone 212-315-1412 · Fax 212-315-1442
Mailing address
311 W 43rd StSuite 1101
New York, NY 10036-6413
Phone 212-315-1412 · Fax 212-315-1442
Authorized official
John Labonete Rivas
Physical Therapist
2133040502
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