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Organization
DISTINCTIVE PHYSICAL THERAPY PLLC
Active
Organization
DISTINCTIVE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C ZAGARE PT (PHYSICIAN)
(516) 214-8307
Entity
Organization
Contact information
Practice address
1545 WALNUT AVE, MERRICK, NY 11566-2218
(516) 214-8307
(516) 750-9086
Mailing address
1545 WALNUT AVE, MERRICK, NY 11566-2218
(516) 214-8307
(516) 750-9086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029447
NY
Other
Enumeration date
12/03/2009
Last updated
09/14/2010
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