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Organization
EMPIRE STATE PHYSICAL THERAPY, PC
Active
Organization
EMPIRE STATE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND LESLIE WONG-PAN P.T. (PHYSICAL THERAPIST)
(845) 255-1925
Entity
Organization
Contact information
Practice address
134 MAIN ST, NEW PALTZ, NY 12561-1128
(845) 255-1925
(845) 255-1925
Mailing address
PO BOX 188, GARDINER, NY 12525-0188
(845) 255-1925
(845) 255-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017188
NY
Other
Enumeration date
08/08/2007
Last updated
02/26/2019
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