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Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.
Active
Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA PABELLON (VP OF ADMIN OPERATIONS)
(516) 321-2447
Entity
Organization
Contact information
Practice address
1010 ROUTE 112, SUITE 200, PORT JEFFERSON STATION, NY 11776-3387
(631) 476-4880
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(516) 321-2447
(914) 517-2848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
09/29/2015
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