NPI 1124365762

Connect Physical Therapy P.C.

Organisation Exclusive Provider Organization Queens Village, NY

Practice location

Address: 9118 Vanderveer St, Queens Village, NY 11428-1242
Phone: (516) 721-7504

Authorised official

Name: Ma Girlie Olmedo Acero
Title: Physical Therapist
Phone: (516) 721-7504

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 014002 (NY)

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Registry record

NPI: 1124365762
Entity type: Organization
NPI issued: 15 Jan 2013
Record last updated: 15 Jan 2013

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.