# CORE KINETICS PHYSICAL THERAPY PLLC

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

## Provider details

- **NPI number:** 1467909408
- **Authorized official:** JOSEPH PATRICK KEATING II (OWNER)
- **Authorized official phone:** (516) 526-5196

## Contact information

- **Practice address:** 177 CONKLIN ST, FARMINGDALE, NY 11735-2501
- **Practice address phone:** (516) 526-5196
- **Practice address fax:** (631) 351-4049
- **Mailing address:** 28 PIERMONT CT, MELVILLE, NY 11747-1410
- **Mailing address phone:** (516) 526-5196
- **Mailing address fax:** (631) 351-4049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 031523-1 | NY | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 08/04/2023