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Organization
THERAPEUTIC EXCELLENCE PHYSICAL THERAPY PC
Active
Organization
THERAPEUTIC EXCELLENCE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS KINNEARY (PRESIDENT)
(516) 365-2929
Entity
Organization
Contact information
Practice address
1350 NORTHERN BLVD, SUITE C, MANHASSET, NY 11030-3004
(516) 365-2929
Mailing address
1350 NORTHERN BLVD, SUITE C, MANHASSET, NY 11030-3004
(516) 365-2929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061101
HEALTHNET ORTHONET
NY
01
—
02008401
AETNA ORTHONET
NY
01
—
080005505NY02
ANTHEM
NY
01
—
169333P
HIP
NY
01
—
2114203
AETNA US HEALTHCARE
NY
01
—
5C7199
HEALTHNET
NY
01
—
66496
BLUE SHIELD PA
PA
01
—
AZ00867
MDNY
NY
01
—
P1536005
OXFORD
NY
01
—
Q45771
BLUE SHIELD
NY
Enumeration date
06/15/2007
Last updated
11/29/2007
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