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Organization
LATITUDE PT NY
Active
Organization
LATITUDE PT NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM COLLINS (OWNER)
(631) 241-3698
Entity
Organization
Contact information
Practice address
34 BAY ST, SAG HARBOR, NY 11963-3104
(917) 672-3319
Mailing address
PO BOX 552, SAG HARBOR, NY 11963-0012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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