Organization
PROCORE PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY STEMKOWSKI MSPT (PRESIDENT/PT)
(845) 589-0556
Entity
Organization
Contact information
Practice address
100 N MIDDLETOWN RD, PEARL RIVER, NY 10965-2017
(845) 589-0556
(845) 589-0558
Mailing address
100 N MIDDLETOWN RD, PEARL RIVER, NY 10965-2017
(845) 589-0556
(845) 589-0558
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0185251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q2W2C1
MEDICARE NUMBER
NY
Enumeration date
01/11/2016
Last updated
01/11/2016
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