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Organization
GAITWAY PHYSICAL THERAPY PC
Active
Organization
GAITWAY PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY S MANGANO M.P.T. (OWNER)
(516) 659-8252
Entity
Organization
Contact information
Practice address
6 ARCADIA LN, HICKSVILLE, NY 11801-4437
(516) 623-4769
Mailing address
35 EARL DR, MERRICK, NY 11566-1708
(516) 623-4769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025236-1
NY
Other
Enumeration date
07/14/2010
Last updated
10/03/2013
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