Organization
COSTA PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J COSTA PHYSICAL THERAPIST (DIRECTOR/OWNER)
(631) 724-3150
Entity
Organization
Contact information
Practice address
269 E MAIN ST, SUITE E3, SMITHTOWN, NY 11787-2832
(631) 724-3150
(631) 724-3117
Mailing address
269 E MAIN ST, SUITE E3, SMITHTOWN, NY 11787-2832
(631) 724-3150
(631) 724-3117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009869
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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