Organization
SPARACIO PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK JOSEPH SPARACIO MSPT COMT CFMT (OWNER/PT)
(516) 439-5656
Entity
Organization
Contact information
Practice address
3 SCHOOL ST STE 205, GLEN COVE, NY 11542
(516) 676-2327
(516) 676-4960
Mailing address
3 SCHOOL ST STE 205, GLEN COVE, NY 11542
(516) 676-2327
(516) 676-4960
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
014956
NY
Other
Enumeration date
12/16/2010
Last updated
05/08/2017
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