Organization
FARMINGDALE PHYSICAL THERAPY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C DUGAN PT OCS NCS GCS (OWNER PARTNER)
(516) 293-0565
Entity
Organization
Contact information
Practice address
326 MAIN STREET, FAMINGDALE, NY 11735
(516) 293-0565
(516) 293-1897
Mailing address
326 MAIN STREET, FAMINGDALE, NY 11735
(516) 293-0565
(516) 293-1897
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF3866
RR MEDICARE
NY
Enumeration date
01/06/2006
Last updated
04/02/2008
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