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Organization
GREENLAND PHYSICAL THERAPY PC
Active
Organization
GREENLAND PHYSICAL THERAPY PC
Active
Other names
GREENLAND PHYSICAL THERAPY PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEEN BAUTISTA ANCIRO DPT (PRESIDENT)
(917) 495-0831
Entity
Organization
Contact information
Practice address
387 E MAIN ST STE 104, BAY SHORE, NY 11706-8413
(516) 270-3673
Mailing address
PO BOX 21089, FLORAL PARK, NY 11002-1089
(516) 270-3673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
05/14/2021
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