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Organization
TRIUMPH ASSOCIATES PHYSICAL THERAPY PC
Active
Organization
TRIUMPH ASSOCIATES PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYONEL DE SAGUN PT (PRESIDENT)
(631) 424-5070
Entity
Organization
Contact information
Practice address
1705 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2444
(631) 424-5070
Mailing address
1705 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2444
(631) 424-5070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019091
NY
Other
Enumeration date
05/25/2007
Last updated
07/01/2011
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