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Organization
SAINT TADROS PHYSICAL THERAPY PC
Active
Organization
SAINT TADROS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD S AWADALLAH PT (OWNER)
(727) 460-5584
Entity
Organization
Contact information
Practice address
71 PIQUETS LN, WOODBURY, NY 11797-2213
(727) 460-5584
Mailing address
71 PIQUETS LN, WOODBURY, NY 11797-2213
(727) 460-5584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036272
NY
Other
Enumeration date
02/25/2015
Last updated
12/31/2019
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