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Organization
WESTON PAXXON PT OT SLP PLLC
Active
Organization
WESTON PAXXON PT OT SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER R BERKLEY JR. PT (EXECUTIVE VP)
(631) 467-3700
Entity
Organization
Contact information
Practice address
3718 HENRY HUDSON PKWY # 3726, SUITE 1005, BRONX, NY 10463-1502
(718) 432-1618
(718) 432-0012
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 991-2034
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028299
NY
Other
Enumeration date
01/12/2007
Last updated
10/12/2007
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