NPI 1003119678

St Kyrollos Physical Therapy PC

Organisation Case Management Agency Staten Island, NY

Practice location

Address: 37 Pearson St, Staten Island, NY 10314-4789
Phone: (917) 442-3010

Authorised official

Name: Michel Dimian
Title: Owner
Phone: (917) 442-3010

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 026176 (NY)

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Registry record

NPI: 1003119678
Entity type: Organization
NPI issued: 21 Dec 2010
Record last updated: 21 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.