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Organization
NEW BALANCE PHYSICAL THERAPY
Active
Organization
NEW BALANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA PERON MSPT (CEO)
(631) 226-2918
Entity
Organization
Contact information
Practice address
608 S OYSTER BAY RD, HICKSVILLE, NY 11801-3528
(631) 226-2918
(631) 226-2745
Mailing address
608 S OYSTER BAY RD, HICKSVILLE, NY 11801-3528
(631) 226-2918
(631) 226-2745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026543
NY
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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