Organization
MICHELLE DOXSEE PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DOXSEE PT (OWNER/ PHYSICAL THERAPIST)
(631) 513-7398
Entity
Organization
Contact information
Practice address
157 N OCEAN AVE, PATCHOGUE, NY 11772-2016
(631) 513-7398
Mailing address
24 DEWEY ST, SAYVILLE, NY 11782-1302
(631) 513-7398
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-3848958
TAX ID
NY
Enumeration date
11/28/2018
Last updated
12/20/2019
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