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Organization
NASSAU SPORTS CARE WELLNESS & FITNESS PHYSICAL THERAPY PLLC
Active
Organization
NASSAU SPORTS CARE WELLNESS & FITNESS PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W. KRUPA III (OWNER)
(516) 326-7899
Entity
Organization
Contact information
Practice address
1204 JERICHO TPKE, NEW HYDE PARK, NY 11040-4607
(516) 326-7899
(516) 326-7895
Mailing address
1204 JERICHO TPKE, NEW HYDE PARK, NY 11040-4607
(516) 326-7899
(516) 326-7895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008984
NY
Other
Enumeration date
03/23/2007
Last updated
08/22/2007
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