GENESIS PHYSICAL THERAPY PC
Residential Treatment Facilities at 222 St, Jamaica, NY

License number
New York O22008
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Physical Disabilities
Owner
Name: MICHAEL ABORISADE RPT
Title: PRESIDENT/CEO
Phone: (718) 415-3947
Address
Address
14622 222Nd St, Jamaica, NY 11413
National Provider ID: 1386896397
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GENESIS PHYSICAL THERAPY, PC

Jamaica, NY

Status:
Inactive
Industry:
Health Practitioner's Office
Registration:
Jul 6, 2001
Addresses:
127-25 177 St, Springfield Gardens, NY 11413 (Physical)
12725 177 St, Jamaica, NY 11434
State ID:
2657717
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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