Individual
WAYNE VICTOR HATAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
475 E MAIN ST, SUITE 103-105, PATCHOGUE, NY 11772-3121
(631) 289-0044
(631) 447-6126
Mailing address
475 E MAIN ST, SUITE 103-105, PATCHOGUE, NY 11772-3121
(631) 289-0044
(631) 447-6126
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
016816-1
NY
Other
Enumeration date
07/07/2006
Last updated
03/14/2008
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