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Organization
NY PHYSICAL THERAPY & WELLNESS, LEVITTOWN, PLLC
Active
Organization
NY PHYSICAL THERAPY & WELLNESS, LEVITTOWN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J. BREDOW PT (OWNER, PT)
(516) 520-7200
Entity
Organization
Contact information
Practice address
150 GARDINERS AVE, LEVITTOWN, NY 11756-3707
(516) 520-7200
(516) 520-7625
Mailing address
150 GARDINERS AVE, LEVITTOWN, NY 11756-3707
(516) 520-7200
(516) 520-7625
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021022-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162552P
HIP
NY
01
—
Q13C11
EMPIRE BC/BS
NY
Enumeration date
11/02/2005
Last updated
06/26/2009
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