180Physiotherapy PT PLLC
Organization Active NPI Physical Therapist · Forest Hills, NY
NPI 1770142408 · NPPES record last updated Jun 6, 2019
Key facts
- NPI
- 1770142408
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- 180PHYSIOTHERAPY PT PLLC
- Practice address
- 6723 Dartmouth St Apt 3
Forest Hills, NY 11375-4052 - Phone
- (347) 599-6099
- NPI assigned
- Jun 6, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Boris Avezov
- Title
- PT/Owner
- Phone
- (347) 599-6099
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
6723 Dartmouth St Apt 3
Forest Hills, NY 11375-4052
Mailing address
6723 Dartmouth St Apt 3
Forest Hills, NY 11375-4052
Phone (347) 599-6099
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All providers in Forest Hills, NY · Physical Therapist 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 Jun 6, 2019. 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.