Organization · Type 2 NPI

Body In Balance Physical Therapy

Specialist · Flushing, NY

NPI number 1780952796 Active

Practice location

19413 Northern Blvd
Flushing, NY 11358-3032

Call (718) 428-3500 Map

Fax (718) 428-0800

Mailing address

3063 38th St Fl B
Astoria, NY 11103-3803

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	024817-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8 other providers at this address

Other specialist providers in Flushing

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NPI record

NPI: 1780952796
Entity type: Organization (Type 2)
Issued: Dec 5, 2011
Last updated: Dec 5, 2011
Status: Active

Other names

<unavail>
Millennium Physical Therapy & Sports Medicine · doing business as

Authorized official

Mr. Theodosios Neamonitis, DPT
Owner/president/physical Therapist
(718) 932-1269

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780952796

Body In Balance Physical Therapy's National Provider Identifier is 1780952796, issued on Dec 5, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Flushing, NY. The record was last updated on Dec 5, 2011.