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Organization
NY PHYSICAL THERAPY & WELLNESS, MELVILLE, PLLC
Active
Organization
NY PHYSICAL THERAPY & WELLNESS, MELVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J BREDOW PT (PT / OWNER)
(631) 694-0005
Entity
Organization
Contact information
Practice address
535 BROADHOLLOW RD, SUITE A10, MELVILLE, NY 11747-3713
(631) 694-0005
(631) 694-0007
Mailing address
1800 WALT WHITMAN RD STE 120, MELVILLE, NY 11747-3237
(631) 694-0005
(631) 694-0007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021022-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173738P
HIP
NY
01
—
Q13V52
BC/BS
NY
Enumeration date
09/13/2006
Last updated
03/05/2010
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