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Organization
HUNTINGTON PHYSICAL THERAPY
Active
Organization
HUNTINGTON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BALDWIN DEEGAN PT (PRES)
(631) 421-9111
Entity
Organization
Contact information
Practice address
141 E MAIN ST, HUNTINGTON, NY 11743-2852
(631) 421-9111
(631) 422-3723
Mailing address
141 E MAIN ST, HUNTINGTON, NY 11743-2852
(631) 421-9111
(631) 422-3723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21149
NY
Other
Enumeration date
05/16/2007
Last updated
05/02/2008
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