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Organization
SOUTHBAY BACK TO WORK
Active
Organization
SOUTHBAY BACK TO WORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SALONIA-BELLUCCI (DIRECTOR)
(631) 842-4606
Entity
Organization
Contact information
Practice address
1160 MONTAUK HWY, COPIAGUE, NY 11726-4904
(631) 842-4606
(631) 842-0803
Mailing address
1160 MONTAUK HWY, COPIAGUE, NY 11726-4904
(631) 842-4606
(631) 842-0803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009181
NY
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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