Age Actively Physical Therapy, P.c.
NPI #1790116549 in North Baldwin, New York
Provider Information
- NPI Number
- 1790116549
- Entity Type
- Organization
- Organization Name
- Age Actively Physical Therapy, P.c.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 4, 2013
- Last Updated
- Dec 4, 2013
Practice Location
- Address
- 1633 WESTERVELT AVE
- City
- North Baldwin
- State
- New York
- ZIP Code
- 11510-1650
- Phone
- (516) 343-6195
Authorized Official
- Name
- MR. EDGAR JOSEPH BIAZON, PT
- Title
- PRESIDENT
- Phone
- (516) 343-6195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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