Organization Name: | CIP PHYSICAL THERAPY PC |
NPI Number: | 1134477979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA I PEREZ (PRESIDENT) |
Mailing Address: | 129-10 23rd Ave Suite B College Point |
State: | NY US |
Postal Code: | 11356 |
Phone Number: | 7188354199 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 025072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |