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Contact Information

180PHYSIOTHERAPY PT PLLC
6723 DARTMOUTH ST APT 3
FOREST HILLS, NY11375-4052
 Phone: 347-599-6099
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for 180PHYSIOTHERAPY PT PLLC

NPI # 1770142408
LBN Legal business name 180PHYSIOTHERAPY PT PLLC
Authorized official BORIS AVEZOV - (PT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2019
Last updated 06/06/2019 - About 7 years ago
Identifiers n/a
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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