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Organization
LONG ISLAND PEDIATRIC PHYSICAL THERAPY, PC
Active
Organization
LONG ISLAND PEDIATRIC PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP J KOCH PT (PRESIDENT)
(516) 358-9146
Entity
Organization
Contact information
Practice address
99 TULIP AVE, SUITE 407, FLORAL PARK, NY 11001-1974
(516) 358-9146
Mailing address
99 TULIP AVE, SUITE 407, FLORAL PARK, NY 11001-1974
(516) 358-9146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006167
NY
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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