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Organization

PRNY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARISSA M MUCCIO PT (PRESIDENT)
(973) 628-1300
Entity
Organization

Contact information

Practice address
820 2ND AVE RM 7, NEW YORK, NY 10017-4528
(973) 628-1300
(973) 628-0300
Mailing address
265 RTE 46, SUITE 102, TOTOWA, NJ 07512-1820
(973) 628-1300
(973) 628-0300

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
037604-1
NY

Other

Enumeration date
07/31/2014
Last updated
08/11/2015
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