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Organization
PROFESSIONAL CARE PHYSICAL THERAPY AND REHABILITATION P.C
Active
Organization
PROFESSIONAL CARE PHYSICAL THERAPY AND REHABILITATION P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE CIRESI III D.P.T. (OWNER)
(631) 775-0971
Entity
Organization
Contact information
Practice address
191 PATCHOGUE YAPHANK RD, EAST PATCHOGUE, NY 11772-4899
(631) 775-0971
(631) 475-0975
Mailing address
191 PATCHOGUE YAPHANK RD, EAST PATCHOGUE, NY 11772-4899
(631) 775-0971
(631) 475-0975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025766
LICENSE
NY
Enumeration date
01/21/2009
Last updated
11/07/2019
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