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Organization
REGO PARK THERACARE PHYSICAL THERAPY P.C.
Active
Organization
REGO PARK THERACARE PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX ONGOCO CRUZ P.T. (PRESIDENT)
(631) 732-1386
Entity
Organization
Contact information
Practice address
465 BLUE POINT RD STE A, FARMINGVILLE, NY 11738-1839
(631) 732-1386
(631) 732-1544
Mailing address
67 TRUXTON RD, DIX HILLS, NY 11746-6725
(631) 940-0926
(631) 940-0926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881622207
NPI INDIVIDUAL
NY
Enumeration date
10/31/2006
Last updated
08/22/2020
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