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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 ADMINISTRATIVE OPERATIONS)
(516) 321-2447
Entity
Organization
Contact information
Practice address
162 W 72ND ST, FLOOR 4, NEW YORK, NY 10023-3300
(212) 362-3595
(212) 362-3587
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
(631) 396-0865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
03/29/2018
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