# RUXANDRA BERKO PT PC

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

## Provider details

- **NPI number:** 1407009574
- **Authorized official:** RUXANDRA BERKO PHYDICAL THERAPIST (PRESIDENT)
- **Authorized official phone:** (917) 650-4194

## Contact information

- **Practice address:** 189 AMOS AVE, OCEANSIDE, NY 11572-2302
- **Practice address phone:** (516) 705-8988
- **Practice address fax:** (516) 705-8988
- **Mailing address:** 189 AMOS AVE, OCEANSIDE, NY 11572-2302
- **Mailing address phone:** (516) 705-8988
- **Mailing address fax:** (516) 705-8988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 018347-1 | NY | Yes |

## Other

- **Enumeration date:** 11/02/2008
- **Last updated:** 11/02/2008