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Organization
SUTPHIN PHYSICAL THERAPY PC
Active
Organization
SUTPHIN PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE TATEM (OWNER)
(718) 739-1455
Entity
Organization
Contact information
Practice address
11024 SUTPHIN BLVD, JAMAICA, NY 11435-5716
(718) 739-1455
(718) 739-1456
Mailing address
11024 SUTPHIN BLVD, JAMAICA, NY 11435-5716
(718) 739-1455
(718) 739-1456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016439
NY
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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