39TH Avenue Physical Therapy PC
Organization Active NPI Physical Therapy Clinic/Center · Corona, NY
NPI 1235674342 · NPPES record last updated Nov 30, 2017
Key facts
- NPI
- 1235674342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 028369 (NY)
- Legal business name
- 39TH AVENUE PHYSICAL THERAPY PC
- Practice address
- 103-18C 39 Ave
Corona, NY 11368 - Phone
- (718) 709-7583
- Fax
- (718) 942-9341
- NPI assigned
- Dec 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Korina Galaraga, PT
- Title
- Physical Therapist
- Phone
- (917) 742-0221
National Provider Directory
Locations
10318 39th Ave
Ste C
Corona, NY 11368
Phone (718) 709-7583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 028369 | NY | Yes |
Addresses
Primary practice location
103-18C 39 Ave
Corona, NY 11368
Mailing address
103-18C 39Ave
Corona, NY 11368
Phone (718) 709-7583
Other providers in Corona, NY
- 104 Dental, PLLC
- 108 Pharmacy Inc
- 108 Pharmacy Inc
- 2012 Smart Physical Therapy, PC
- 21St Century Pharmacy Inc
- 96TH Street Junction Blvd Medical PC
- 99-04 57TH Avenue, Inc.
- A & R Drug Inc
- A & R Pharmacy Inc
- ABA Chiropractic PC
All providers in Corona, NY · Physical Therapy Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.