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Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC
Active
Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN AGRELO (REGIONAL BUSINESS MANAGER)
(516) 794-3278
Entity
Organization
Contact information
Practice address
90 EAST SHORE ROAD, GREAT NECK, NY 11023
(516) 684-1122
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(516) 684-1122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/06/2006
Last updated
03/30/2018
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