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Organization
WADING RIVER PHYSICAL THERAPY, PC
Active
Organization
WADING RIVER PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER PAUL VANCURA P.T. (OWNER/PHYSICAL THERAPIST)
(631) 929-8200
Entity
Organization
Contact information
Practice address
5958 ROUTE 25A, WADING RIVER, NY 11792-2001
(631) 929-8200
(631) 929-8228
Mailing address
5958 ROUTE 25A, WADING RIVER, NY 11792-2001
(631) 929-8200
(631) 929-8228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2N5211
CHILD HEALTH PLUS
NY
01
—
N78062
HEALTHNET
NY
Enumeration date
09/26/2006
Last updated
04/01/2008
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