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Organization
UNIVERSUS PHYSICAL THERAPY PLLC
Active
Organization
UNIVERSUS PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN GHATTAS RYGLEWICZ P.T. (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
221 E MAIN ST, HUNTINGTON, NY 11743-2924
(631) 533-2888
(631) 683-5584
Mailing address
221 E MAIN ST, HUNTINGTON, NY 11743-2924
(631) 533-2888
(631) 638-5584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028157
LICENSE
NY
Enumeration date
03/30/2012
Last updated
05/02/2022
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