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Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC
Active
Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN AGRELO (SVP OF ADMINISTRATIVE OPERATIONS)
(516) 321-2424
Entity
Organization
Contact information
Practice address
121 BROADHOLLOW RD, MELVILLE, NY 11747-4906
(631) 354-5600
(631) 425-1020
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(718) 767-0610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028766
NY
Other
Enumeration date
01/19/2012
Last updated
03/30/2018
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