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Organization
NY PHYSICAL THERAPY IN HOME THERAPY PLLC
Active
Organization
NY PHYSICAL THERAPY IN HOME THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DIAZ PT (OWNER/PT)
(516) 261-9510
Entity
Organization
Contact information
Practice address
650 WANTAGH AVE, LEVITTOWN, NY 11756-5390
(516) 261-9510
(516) 597-5541
Mailing address
650 WANTAGH AVE, LEVITTOWN, NY 11756-5390
(162) 619-5105
(516) 597-5541
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
02/18/2021
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