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Organization
FORM AND FUNCTION PHYSICAL THERAPY PC.
Active
Organization
FORM AND FUNCTION PHYSICAL THERAPY PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIR MILAD HANNA PT (PHYSICAL THERAPIST)
(516) 532-0734
Entity
Organization
Contact information
Practice address
55 JERICHO TPKE, SUITE 202, JERICHO, NY 11753-1013
(516) 532-0734
(516) 465-9656
Mailing address
55 JERICHO TPKE, SUITE 202, JERICHO, NY 11753-1013
(516) 532-0734
(516) 465-9656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0179761
NY
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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