Annie Black Pt & Rehab PC
Physical Therapist in Forest Hills, NY. Organization (NPI-2).
NPI number1811015936
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1811015936
- Entity type
- Organization (NPI-2)
- Legal business name
- Annie Black Pt & Rehab PC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 6044-1 | NY | Yes |
Practice location
11006 72nd AveSuite MD 2
Forest Hills, NY 11375-4900
Phone 718-268-6072 · Fax 718-268-0226
Mailing address
11006 72nd AveSuite MD 2
Forest Hills, NY 11375-4900
Phone 718-268-6072 · Fax 718-268-0226
Authorized official
Annie Black
President
7182686072
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