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Organization
LYONS PHYSICAL THERAPY PC
Active
Organization
LYONS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYONEL DE SAGUN (OWNER)
(631) 816-9696
Entity
Organization
Contact information
Practice address
1705 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2472
(631) 816-9696
Mailing address
1705 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019091
NY
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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