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Organization
SOUTH SHORE S I PHYSICAL THERAPY PC
Active
Organization
SOUTH SHORE S I PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR LIZASO PHYSICAL THERAPIST (OWNER)
(718) 356-9222
Entity
Organization
Contact information
Practice address
330 SEGUINE AVE, STATEN ISLAND, NY 10309
(718) 356-9222
(718) 605-4729
Mailing address
330 SEGUINE AVE, STATEN ISLAND, NY 10309
(718) 356-9222
(718) 605-4729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011812-1
NY
Other
Enumeration date
07/13/2007
Last updated
10/23/2008
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