Organization · NPI-2
Arista Physical Therapy Wellness PLLC
Physical Therapist · Astoria, NY
NPI number1669773701
StatusActive
Last updated in NPPESAug 26, 2020
Details
- NPI
- 1669773701
- Entity type
- Organization (NPI-2)
- Legal business name
- Arista Physical Therapy Wellness PLLC
- Organization subpart
- No
- Enumeration date
- Nov 5, 2010
- Certification date
- Aug 26, 2020
- Last updated
- Aug 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
30-16 30th Drive2nd Flr
Astoria, NY 11102-1890
Phone 718-777-2244 · Fax 718-777-2254
Mailing address
6 E 45th St Fl 18New York, NY 10017-2401
Phone 212-529-5700
Authorized official
Kosta Kokolis
Owner
1877772244
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