Mitra Physical Therapy
Mitra Physical Therapy is an Early Intervention Provider Agency in Douglaston, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
24312 73rd Ave Fl 2Douglaston, NY 11362-2320
Phone: (516) 451-3427
Fax: (347) 235-0932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 018279 (NY) |
|---|
Record details
| NPI number | 1154678258 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theoderick Mitra — President · (516) 451-3427 |
| NPI enumerated | August 7, 2012 |
| Last updated in NPPES | August 7, 2012 |
| Mailing address | 24312 73rd Ave Fl 2, Douglaston, NY 11362-2320 |
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