Great Western Physical Therapy Pc

LBN: Great Western Physical Therapy Pc
Great Western Physical Therapy Pc is an health care organization with primary practice located at 3175 29Th St Apt A7 , Astoria NY 11106-3328. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Great Western Physical Therapy Pc can be contacted via phone (929) 340-1606, or through Davydov, Mark via phone (929) 340-1606.

Contact Information

Primary practice address
3175 29Th St Apt A7 Astoria NY 11106-3328
Phone: (929) 340-1606
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davydov, Mark DPT
Phone: (929) 340-1606

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1174162440
LBN Legal business name Great Western Physical Therapy Pc
DBA Doing business as
Authorized official Davydov, Mark DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2020
Last updated Jan 3rd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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