# MOTION DYNAMICS PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306022272
- **Authorized official:** MR. STEPHAN UNGAR PT (PRESIDENT)
- **Authorized official phone:** (631) 758-5700

## Contact information

- **Practice address:** 440 WAVERLY AVE STE 5, PATCHOGUE, NY 11772-1597
- **Practice address phone:** (631) 758-5700
- **Practice address fax:** (631) 758-7005
- **Mailing address:** 440 WAVERLY AVE STE 5, PATCHOGUE, NY 11772-1597
- **Mailing address phone:** (631) 758-5700
- **Mailing address fax:** (631) 758-7005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 04/20/2008