Organization
WESTON PAXXON PT, OT & SLP, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER RAYMOND BERKLEY PT (EXECUTIVE VP)
(631) 467-3700
Entity
Organization
Contact information
Practice address
11701 84TH AVE, SUITE 915, KEW GARDENS, NY 11418-1420
(718) 441-0479
(718) 441-0479
Mailing address
20 PEACHTREE CT, SUITE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
003194-1
NY
Other
Enumeration date
06/20/2006
Last updated
06/14/2010
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