101 AVENUE PHYSICAL THERAPY PC

NPI: 1710404173 · Organization · Active

Primary Specialty

Physical Therapist

Practice Location

277 NORTHERN BLVD STE 301
GREAT NECK, NY 11021-4703 Map ↗
Phone: 516-472-7861

All Specialties & Licenses

  • Physical Therapist Primary (license: 36145, NY)

NPI Registration

Enumerated: 2017-08-26

Last CMS Update: 2017-08-26