Healthcare Provider Details

I. General information

NPI: 1639844335
Provider Name (Legal Business Name): BALANCE CARE PHYSICAL THERAPY & ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2021
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 55TH ST
BROOKLYN NY
11220-3263
US

IV. Provider business mailing address

79 FLAGG CT
STATEN ISLAND NY
10304-1157
US

V. Phone/Fax

Practice location:
  • Phone: 718-686-1733
  • Fax: 718-686-1723
Mailing address:
  • Phone: 718-686-1733
  • Fax: 718-686-1723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARYGRACE FRANCISCO
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 718-686-1733