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Contact Information

AGE ACTIVELY PHYSICAL THERAPY, P.C.
1633 WESTERVELT AVE
BALDWIN, NY11510-1650
 Phone: 516-343-6195
 Fax: 516-208-5005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AGE ACTIVELY PHYSICAL THERAPY PC · (Female)

NPI # 1790116549
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2013
Last updated 12/04/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 017711-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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