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Individual

ANDREW S ZAGORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
709 W JERICHO TPKE, HUNTINGTON, NY 11743-6336
(631) 549-1280
(631) 549-1005
Mailing address
1473 BRIARD ST, WANTAGH, NY 11793-2910
(631) 549-1280
(631) 549-1005

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0211891
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0211891
LICENSE
NY
Enumeration date
02/16/2007
Last updated
06/05/2009
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