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Organization
VICTORY PHYSICAL THERAPY, P.C.
Active
Organization
VICTORY PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE CAROL RYAN PT (PRESIDENT)
(718) 761-0017
Entity
Organization
Contact information
Practice address
2550 VICTORY BLVD, SUITE 301, STATEN ISLAND, NY 10314-6635
(718) 761-0017
(718) 761-6980
Mailing address
2550 VICTORY BLVD, SUITE 301, STATEN ISLAND, NY 10314-6635
(718) 761-0017
(718) 761-6980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010846
NY
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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