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Organization
PECONIC BAY PHYSICAL THERAPY & CHIROPRACTIC, PLLC
Active
Organization
PECONIC BAY PHYSICAL THERAPY & CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENZA REID (OFFICE MANAGER)
(631) 800-0030
Entity
Organization
Contact information
Practice address
200 E MAIN ST, PATCHOGUE, NY 11772-3159
(631) 800-0030
(631) 800-0015
Mailing address
200 E MAIN ST, PATCHOGUE, NY 11772-3159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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