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Organization
FUNCTION PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Active
Organization
FUNCTION PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEIRDRE MCCOOL (BILLER)
(631) 404-7073
Entity
Organization
Contact information
Practice address
734 MONTAUK HWY, BAYPORT, NY 11705-1621
(631) 404-7073
(631) 751-8298
Mailing address
734 MONTAUK HWY, BAYPORT, NY 11705-1621
(631) 404-7073
(631) 751-8298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X011836
NY
225100000X
Physical Therapist
Primary
033193
NY
Other
Enumeration date
10/07/2014
Last updated
10/21/2014
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