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Organization
GNLC PHYSICAL THERAPY PLLC
Active
Organization
GNLC PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL SZUFLADA (OFFICE MANAGER)
(631) 588-2100
Entity
Organization
Contact information
Practice address
500 PORTION RD, SUITE5, LAKE RONKONKOMA, NY 11779-4587
(631) 588-2100
(631) 588-2299
Mailing address
500 PORTION RD, SUITE5, LAKE RONKONKOMA, NY 11779-4587
(631) 588-2100
(631) 588-2299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
033193
NY
225100000X
Physical Therapist
Primary
22606
NY
Other
Enumeration date
04/21/2015
Last updated
06/29/2015
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