Organization
PETER A CHIDICHIMO, PT,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHIDICHIMO PT (PRESIDENT)
(516) 931-7060
Entity
Organization
Contact information
Practice address
404 JERUSALEM AVE, HICKSVILLE, NY 11801-5504
(516) 931-7060
(516) 933-3609
Mailing address
404 JERUSALEM AVE, HICKSVILLE, NY 11801-5504
(516) 931-7060
(516) 933-3609
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
006763
NY
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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