Organization Name: | AGE ACTIVELY PHYSICAL THERAPY, P.C. |
NPI Number: | 1790116549 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDGAR JOSEPH BIAZON (PRESIDENT) |
Mailing Address: | 1633 Westervelt Ave North Baldwin |
State: | NY US |
Postal Code: | 115101650 |
Phone Number: | 5163436195 |
Fax Number: | 5162085005 |
NPI Enumeration Date: | 12/04/2013 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 017711-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |