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Contact Information

ACTIVE WELLNESS PHYSICAL THERAPY P.C.
100-05 ROOSEVELT AVE
2ND FLOOR
CORONA, NY11368
 Phone: 718-878-4103
 Fax: 718-803-6440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ACTIVE WELLNESS PHYSICAL THERAPY P.C.

NPI # 1679826457
LBN Legal business name ACTIVE WELLNESS PHYSICAL THERAPY P.C.
Authorized official SABINIANO MANGGURAY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2012
Last updated 10/18/2012 - About 14 years ago
Identifiers
NY License # 0314231
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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