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Organization
WESTERN NASSAU PT
Active
Organization
WESTERN NASSAU PT
Active
Other names
PEAK PERFORMANCE PT
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FRANCIS SULLIVAN PT, OCS (PRESIDENT)
(516) 326-4580
Entity
Organization
Contact information
Practice address
1730 LAKEVILLE RD, NEW HYDE PARK, NY 11040-2506
(516) 326-4580
(516) 326-0793
Mailing address
1730 LAKEVILLE RD, NEW HYDE PARK, NY 11040-2506
(516) 326-4580
(516) 326-0793
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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