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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
MRS. HELEN AGRELO (SVP OF ADMINISTRATIVE OPERATIONS)
(516) 321-2424
Entity
Organization
Contact information
Practice address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 767-0610
(718) 767-1470
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
10/24/2005
Last updated
03/29/2018
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