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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, P.C.

NPI Number 1790116549
LBN Legal business name AGE ACTIVELY PHYSICAL THERAPY, P.C.
Authorized official EDGAR BIAZON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2013
Last updated 12/04/2013 - About 13 years ago
Identifiers
NY License # 017711-1
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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