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Contact Information

2012 SMART PHYSICAL THERAPY, PC
10119 39TH AVE
LOWER LEVEL
CORONA, NY11368-4806
 Phone: 347-669-3828
 Fax: 347-808-8326
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for 2012 SMART PHYSICAL THERAPY, PC

NPI # 1679844302
LBN Legal business name 2012 SMART PHYSICAL THERAPY, PC
Authorized official FRANCISCO REYES - (PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2012
Last updated 05/08/2012 - About 14 years ago
Identifiers
NY License # 025085
NY Medicaid 02761397
NY Other 025085-1 LICENSE NUMBER
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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