CENTRAL BROADWAY MEDICAL PC
Physical Therapy at Broadway, New York, NY

License number
New York 148049
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: DR. JAMES RAYMOND AVELLINI MD
Title: PRESIDENT
Phone: (866) 335-4040
Address
Address 2
770 Broadway FL 2, New York, NY 10003
364 Broad St, Keyport, NJ 07735
National Provider ID: 1699007963
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTRAL BROADWAY MEDICAL PC

New York, NY

Industry:
Health/Allied Services
Doing business as:
Central Broadway Medical P C
Registration:
Feb 1, 2010
Addresses:
770 Broadway 2, New York, NY 10003 (Physical)
770 Broadway, New York, NY 10003
State ID:
3906825
Business type:
DOMESTIC PROFESSIONAL CORPORATION
President, Principal:
James Avellini (President, Principal), 770 Broadway 2, New York, NY 10003 (Physical)
Agent:
Spiegel & Utrera, P.a., Pc,770 Broadway 2, New York, NY 10003 (Physical)
1 Maiden Ln, New York, NY 10038 (Physical)

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