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Organization
SUNRISE KINETIC PHYSICAL THERAPY PC
Active
Organization
SUNRISE KINETIC PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY CAMACHO PT (PRESIDENT)
(347) 216-5229
Entity
Organization
Contact information
Practice address
210 E SUNRISE HWY STE 101, VALLEY STREAM, NY 11581-1330
(347) 216-5229
Mailing address
210 E SUNRISE HWY STE 101, VALLEY STREAM, NY 11581-1330
(347) 216-5229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022367
NY
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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