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Organization
PERFORMANCE HOME CARE PHYSICAL THERAPY PC
Active
Organization
PERFORMANCE HOME CARE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MICHAEL SACKETT III P.T. (PRESIDENT)
(516) 695-4998
Entity
Organization
Contact information
Practice address
14 COSGROVE DR, GLEN COVE, NY 11542-2601
(516) 695-4998
(516) 801-0428
Mailing address
14 COSGROVE DR, GLEN COVE, NY 11542-2601
(516) 695-4998
(516) 801-0428
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
014736
NY
Other
Enumeration date
11/20/2006
Last updated
07/08/2008
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