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Organization

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HELEN AGRELO (REGIONAL BUSINESS MANAGER)
(516) 321-2400
Entity
Organization

Contact information

Practice address
127 WEST 30TH STREET, C/O BLINK FITNESS, NEW YORK, NY 10001
(212) 967-5838
(212) 967-5786
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
11/20/2013
Last updated
03/30/2018
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