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Organization
SOUTH SHORE PHYSICAL THERAPY P.C.
Active
Organization
SOUTH SHORE PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M. HERRO P.T. (PRESIDENT)
(631) 878-4545
Entity
Organization
Contact information
Practice address
220 MAIN ST, SUITE 3, CENTER MORICHES, NY 11934-3504
(631) 878-4545
(631) 878-4573
Mailing address
220 MAIN ST, SUITE 3, CENTER MORICHES, NY 11934-3504
(631) 878-4545
(631) 878-4573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5685-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130065
MPN
NY
01
—
1310650
UNITED HEALTH CARE
NY
01
—
3989276
CIGNA
NY
01
—
51503
AETNA
NY
01
—
970755
HIP
NY
Enumeration date
02/12/2007
Last updated
08/22/2020
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