Organization
GBP PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUENDOLYN PARRENO-PARTISALA (PHYSICAL THERAPIST)
(631) 839-1458
Entity
Organization
Contact information
Practice address
320 POST AVE STE 100, WESTBURY, NY 11590-2258
(631) 839-1459
Mailing address
124 W 24TH ST, DEER PARK, NY 11729-4820
(631) 839-1459
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
019988
NY
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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