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Organization
DEER PARK PT & PTA PHYSICAL THERAPY & REHABILITATION, PLLC
Active
Organization
DEER PARK PT & PTA PHYSICAL THERAPY & REHABILITATION, PLLC
Active
Other names
Deer Park Physical Therapy & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ANTHONY ALBERICI P.T. (CEO)
(631) 741-9857
Entity
Organization
Contact information
Practice address
505 GRAND BLVD, SUITE 4, DEER PARK, NY 11729-5300
(631) 940-9800
(631) 940-9801
Mailing address
505 GRAND BLVD, SUITE 4, DEER PARK, NY 11729-5300
(631) 940-9800
(631) 940-9801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205964723
INDIVIDUAL NPI
NY
01
—
1770520751
INDIVIDUAL NPI
NY
Enumeration date
12/11/2013
Last updated
06/02/2014
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