Glysdi Physical Therapy PC
Physical Therapist in Elmhurst, NY. Organization (NPI-2).
NPI number1891096830
StatusActive
Last updated in NPPESNov 8, 2010
Details
- NPI
- 1891096830
- Entity type
- Organization (NPI-2)
- Legal business name
- Glysdi Physical Therapy PC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2010
- Last updated
- Nov 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 62019943 | NY | Yes |
Practice location
8635 Queens Blvd Ste 1bElmhurst, NY 11373-4408
Phone 718-533-8588 · Fax 718-533-1249
Mailing address
8635 Queens Blvd Ste 1bElmhurst, NY 11373-4408
Phone 718-533-8588 · Fax 718-533-1249
Authorized official
Marycris Romarate
Physical Therapist
7185338588
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