HOME PHYSICAL THERAPY PROVIDER PC
Agencies at 79 St, Brooklyn, NY

License number
New York 022810
Category
Agencies
Type
Home Health
Owner
Name: SUSAN CAMILLIERI
Title: CEO
Phone: (718) 769-4231
Address
Address
22 79Th St, Brooklyn, NY 11209
National Provider ID: 1235442450
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HOME PHYSICAL THERAPY PROVIDER PC

723 Ave X, Brooklyn, NY 11235

Status:
Inactive
Industry:
Health Practitioner's Office
Inactive reason:
Dissolution
Registration:
May 7, 2010
Inactive since:
Feb 11, 2013
State ID:
3947402
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Chief Executive Officer:
Susan Camillieri (Chief Executive Officer)

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