Organization
3-DIMENSIONAL PHYSICAL THERAPY, PC
Active
Organization
3-DIMENSIONAL PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS PONTERES PT (PRESIDENT)
(631) 786-0788
Entity
Organization
Contact information
Practice address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 665-0634
(631) 665-0483
Mailing address
16 MALER LANE, PATCHOGUE, NY 11772-3158
(631) 786-0788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019516-1
NY
Other
Enumeration date
07/02/2007
Last updated
11/18/2010
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