Organization
OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA DEBLER (OWNER)
(631) 874-0571
Entity
Organization
Contact information
Practice address
77 UNION AVE, CENTER MORICHES, NY 11934-3213
(631) 874-0571
Mailing address
77 UNION AVE, CENTER MORICHES, NY 11934-3213
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
007249
NY
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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