HOME CARE PHYSICAL THERAPY, PC
Residential Treatment Facilities at Croton Lake Rd, Mount Kisco, NY

License number
New York 010548-1
Category
Agencies
Type
Home Health
License number
New York 010548-1
Category
Ambulatory Health
Type
Physical Therapy
License number
New York 010548-1
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
New York 010548-1
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Physical Disabilities
Owner
Name: MR. RICO KINTANAR SABULAO P.T.
Title: PRESIDENT
Phone: (914) 844-7537
Address
Address
507 Croton Lake Rd, Mount Kisco, NY 10549
National Provider ID: 1154445948
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HOME CARE PHYSICAL THERAPY, PC

507 Croton Lk Rd, Mount Kisco, NY 10549

Industry:
Health Practitioner's Office
Registration:
May 30, 2003
State ID:
2913037
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Partner, President, Principal:
Rico Sabulao (Partner, President, Principal), 507 Croton Lk Rd, Mount Kisco, NY 10549 (Physical)
Agent:
Spiegel & Utrera, P.a., Pc,507 Corton Lk Rd, Mount Kisco, NY 10549 (Physical)
45 John St STE 711, New York, NY 10038 (Physical)

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