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Organization
NY PT AND OT PLLC
Active
Organization
NY PT AND OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DIAZ (OWNER)
(631) 864-6008
Entity
Organization
Contact information
Practice address
820 HEMPSTEAD TPKE, FRANKLIN SQUARE, NY 11010-4339
(631) 864-6008
Mailing address
820 HEMPSTEAD TPKE, FRANKLIN SQUARE, NY 11010-4339
(631) 864-6008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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