Whalio Doctors

NPI 1386896397

Genesis Physical Therapy PC

Organisation Physical Disabilities Residential Treatment Facility Springfield Gardens, NY

Practice location

Address
14622 222nd St, Springfield Gardens, NY 11413-3835
Phone
(718) 415-3947
Fax
(718) 949-4243

Authorised official

Name
Michael Aborisade
Title
President/Ceo
Phone
(718) 415-3947

Registered specialties

Physical Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320700000X Licence O22008 (NY)

Registry record

NPI
1386896397
Entity type
Organization
NPI issued
21 Oct 2008
Record last updated
21 Oct 2008

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.