Organization
J-D P.T. INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PAUL DABOVICH JR. P.T. (CHIEF FINANCIAL OFFICER)
(516) 721-3167
Entity
Organization
Contact information
Practice address
21 JUDY TER, MASSAPEQUA PARK, NY 11762-3724
(516) 721-3167
(516) 795-1520
Mailing address
21 JUDY TER, MASSAPEQUA PARK, NY 11762-3724
(516) 721-3167
(516) 795-1520
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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