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Organization
SPORTSCARE PHYSICAL THERAPY, PC
Active
Organization
SPORTSCARE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G FOX P.T. (OWNER)
(516) 420-1927
Entity
Organization
Contact information
Practice address
814 FULTON ST, SUITE B, FARMINGDALE, NY 11735-3638
(516) 420-1927
(516) 420-1952
Mailing address
814 FULTON ST, SUITE B, FARMINGDALE, NY 11735-3638
(516) 420-1927
(516) 420-1952
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010663-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180617P
HIP
NY
01
—
2C7574
HEALTHNET
NY
01
—
41830
VYTRA
NY
01
—
6601383
GHI
NY
Enumeration date
08/07/2006
Last updated
08/22/2020
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