OrganizationActive
180physiotherapy PT PLLC
NPI 1770142408 · Physical Therapist · Forest Hills, NY
Provider details
- NPI number
- 1770142408
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Boris Avezov, Pt/Owner
Practice location
6723 Dartmouth St Apt 3
Forest Hills, NY 11375-4052
Phone: (347) 599-6099
Mailing address
6723 Dartmouth St Apt 3
Forest Hills, NY 11375-4052
Registry dates
- Enumerated
- 2019-06-06
- Last updated
- 2019-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.