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Organization
PLAZA PHYSICAL THERAPY, P.C.
Active
Organization
PLAZA PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY STACK (PHYSICAL THERPIST)
(516) 796-8490
Entity
Organization
Contact information
Practice address
737 WANTAGH AVE, WANTAGH, NY 11793-2133
(516) 793-8490
(516) 796-8771
Mailing address
737 WANTAGH AVE, WANTAGH, NY 11793-2133
(516) 793-8490
(516) 796-8771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004337-1
NY
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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