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Organization
ELITE ONE PHYSICAL THERAPY, P.C
Active
Organization
ELITE ONE PHYSICAL THERAPY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALBY MAKIL SIMON (OWNER)
(718) 470-1266
Entity
Organization
Contact information
Practice address
346 BEEBE RD, MINEOLA, NY 11501-1112
(718) 470-1266
(516) 279-4174
Mailing address
346 BEEBE RD, MINEOLA, NY 11501-1112
(718) 470-1266
(516) 279-4174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022383
NY
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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