CRESCENT PHYSICAL THERAPY P.C.
Restorative Service Providers at 30 Ave, Long Island City, NY

License number
New York 025975
Category
Restorative Service Providers
Type
Orthopedic
Owner
Name: KHURRAM KHAN P.T.
Title: PRESIDENT/OWNER
Phone: (917) 685-5954
Address
Address
2124 30Th Ave SUITE C1, Long Island City, NY 11102
National Provider ID: 1083667109
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CRESCENT PHYSICAL THERAPY PC

Long Island City, NY

Industry:
Health Practitioner's Office
Doing business as:
KHURRAM KHAN PT PC
Registration:
Jun 17, 2005
Addresses:
21-24 30 Ave STE C1, Astoria, NY 11102 (Physical)
2124 30 Ave, Long Island City, NY 11102
State ID:
3219976
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Technicians:
Khurram Khan (Owner, President), 21-24 30 Ave STE C1, Astoria, NY 11102 (Physical),Laura L. Bordelon Technician, inactive

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