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Organization
PATCHOGUE PHYSICAL THERAPY PC
Active
Organization
PATCHOGUE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIERAN DENEEN PT (CO-PRESIDENT)
(631) 447-9211
Entity
Organization
Contact information
Practice address
54 W MAIN ST, PATCHOGUE, NY 11772-3002
(631) 447-9211
(631) 447-9214
Mailing address
54 W MAIN ST, PATCHOGUE, NY 11772-3002
(631) 447-9211
(631) 447-9214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015188-1
NY
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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