Organization
MOTION DYNAMICS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN UNGAR PT (PRESIDENT)
(631) 758-5700
Entity
Organization
Contact information
Practice address
440 WAVERLY AVE STE 5, PATCHOGUE, NY 11772-1597
(631) 758-5700
(631) 758-7005
Mailing address
440 WAVERLY AVE STE 5, PATCHOGUE, NY 11772-1597
(631) 758-5700
(631) 758-7005
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220801
AETNA / ORTHO NET
NY
01
—
1259717
UNITED HEALTH CARE
NY
01
—
1380287
UNITED HEALTH CARE
NY
01
—
139551P
HIP
NY
01
—
20593P
HIP
NY
01
—
2284678
AETNA
NY
01
—
2287876
AETNA
NY
01
—
4364178
AETNA
NY
01
—
5442410
AETNA
NY
01
—
AZ00653
MDNY
NY
01
—
P1939994
OXFORD
NY
01
—
P1948798
OXFORD
NY
01
—
Q49881
BLUE CROSS
NY
01
—
Q86011
BLUE CROSS
NY
Enumeration date
01/10/2008
Last updated
04/20/2008
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