MEDICARE: FOREST HILLS ACUPUNCTURE & PHYSICAL THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1518520949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST HILLS ACUPUNCTURE & PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	11045 QUEENS BLVD STE 106
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5519
Country	:	US
Telephone Number	:	718-261-6811
Fax Number	:	718-575-0609

Provider Business Practice Location Address
First Line	:	11045 QUEENS BLVD STE 106
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5519
Country	:	US
Telephone Number	:	718-261-6811
Fax Number	:	718-575-0609

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALEXANDER E DOLSKY
Credential	:	DPT
Telephone Number	:	718-261-6811

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	04/22/2019

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