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Organization
DONNA LANZA PHYSICAL THERAPY PC
Active
Organization
DONNA LANZA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LANZA PT (OWNER)
(631) 332-1779
Entity
Organization
Contact information
Practice address
691 ROUTE 25A, BLDG 15, MILLER PLACE, NY 11764-2643
(631) 332-1779
(631) 982-5650
Mailing address
691 ROUTE 25A, BLDG 15, MILLER PLACE, NY 11764-2643
(631) 332-1779
(631) 982-5650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q15341
EMPIRE BLUE CROSS
NY
Enumeration date
09/08/2010
Last updated
09/08/2010
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