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Organization

NY PHYSICAL THERAPY & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD J. BREDOW M.S.P.T. (OWNER/PT)
(631) 694-0005
Entity
Organization

Contact information

Practice address
535 BROADHOLLOW RD, SUITE A10, MELVILLE, NY 11747-3713
(631) 694-0005
(631) 694-0007
Mailing address
535 BROADHOLLOW RD, SUITE A10, MELVILLE, NY 11747-3713
(631) 694-0005
(631) 694-0007

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
NY

Other

Enumeration date
12/01/2005
Last updated
07/21/2022
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