Individual
SEAN PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
177 ABBEY STREET, MASSAPEQUA PARK, NY 11762
(516) 809-5721
Mailing address
177 ABBEY STREET, MASSAPEQUA PARK, NY 11762
(516) 809-5721
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
024573
NY
2251P0200X
Pediatric Physical Therapist
024573
NY
2251X0800X
Orthopedic Physical Therapist
024573
NY
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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