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Organization
OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC
Active
Organization
OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA DEBLER (OWNER)
(631) 874-0571
Entity
Organization
Contact information
Practice address
77 UNION AVE, CENTER MORICHES, NY 11934-3213
(631) 874-0571
Mailing address
77 UNION AVE, CENTER MORICHES, NY 11934-3213
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
007249
NY
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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