Organization
BALDWIN HARBOR PHYSICAL THERAPY
Active
Organization
BALDWIN HARBOR PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MATIS CICIO P.T. (OWNER)
(516) 867-5050
Entity
Organization
Contact information
Practice address
830 ATLANTIC AVE, BALDWIN, NY 11510-4098
(516) 867-5050
(516) 867-0868
Mailing address
830 ATLANTIC AVE, BALDWIN, NY 11510-4098
(516) 867-5050
(516) 867-0868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8972
NY
Other
Enumeration date
12/13/2006
Last updated
07/11/2008
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