Broadway Pt Corp

NPI #1063858520 in Tarrytown, New York

Provider Information

NPI Number: 1063858520
Entity Type: Organization
Organization Name: Broadway Pt Corp
Primary Specialty: Physical Therapist
Enumeration Date: May 10, 2013
Last Updated: May 1, 2015

Practice Location

Address: 200 S BROADWAY
Address 2: 2-2
City: Tarrytown
State: New York
ZIP Code: 10591-4500
Phone: (914) 631-1919

Authorized Official

Name: NASRIN JAVIDAN
Title: DIRECTOR
Phone: (914) 631-1919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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