Organization
JOAN MACKEY PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MACKEY PT (PRESIDENT)
(631) 254-4945
Entity
Organization
Contact information
Practice address
590 NICOLLS RD, DEER PARK, NY 11729-3217
(631) 254-4945
Mailing address
590 NICOLLS RD, DEER PARK, NY 11729-3217
(631) 254-4945
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8331
NY
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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