Organization
515 PHYSICAL THERAPY LLC
Active
Organization
515 PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL J DIOGUARDI JR. PT (PHYSICAL THERAPIST)
(631) 473-5036
Entity
Organization
Contact information
Practice address
515 PHYSICAL THERAPY LLC, SUITE 101, HAUPPAUGE, NY 11788
(631) 265-2225
(631) 265-3610
Mailing address
515 ROUTE 111, SUITE 101, HAUPPAUGE, NY 11788
(631) 265-2225
(631) 265-3610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1451
NY
Other
Enumeration date
09/11/2006
Last updated
08/22/2020
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