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Organization
SOUTH SHORE ATLANTIC PHYSICAL THERAPY PLLC
Active
Organization
SOUTH SHORE ATLANTIC PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANGEETHA RAJYAM PT (OWNER)
(607) 220-9068
Entity
Organization
Contact information
Practice address
500 MONTAUK HWY STE C, WEST ISLIP, NY 11795-4419
(607) 220-9068
Mailing address
500 MONTAUK HWY STE C, WEST ISLIP, NY 11795-4419
(607) 220-9068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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