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Organization
MED PHYSICAL THERAPY PC
Active
Organization
MED PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAD HAERI PT DPT (PHYSICAL THERAPY DIRECTOR)
(631) 385-0066
Entity
Organization
Contact information
Practice address
775 PARK AVE, SUITE 200-12, HUNTINGTON, NY 11743
(631) 385-0066
(631) 385-0770
Mailing address
1035 WESTMINSTER AVE, DIX HILLS, NY 11746
(631) 385-0066
(631) 385-0770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0155911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02019134
—
NY
Enumeration date
07/12/2007
Last updated
03/12/2008
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