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Organization
OSPRE PT, PC
Active
Organization
OSPRE PT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOMSAK K VANICHPONG PT (PRESIDENT)
(845) 634-1625
Entity
Organization
Contact information
Practice address
30 BURDA AVE, NEW CITY, NY 10956-1418
(845) 634-1625
Mailing address
30 BURDA AVE, NEW CITY, NY 10956-1418
(845) 634-1625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020186
NY
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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