Organization
PERFORMANCE HOME CARE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MICHAEL SACKETT III P.T. (PRESIDENT)
(516) 695-4998
Entity
Organization
Contact information
Practice address
14 COSGROVE DR, GLEN COVE, NY 11542-2601
(516) 695-4998
(516) 801-0428
Mailing address
14 COSGROVE DR, GLEN COVE, NY 11542-2601
(516) 695-4998
(516) 801-0428
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
014736
NY
Other
Enumeration date
11/20/2006
Last updated
07/08/2008
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