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Organization

PRN PHYSICAL AND OCCUPATIONAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER RAYMOND BERKLEY JR. PT (PRESIDENT)
(631) 467-3700
Entity
Organization

Contact information

Practice address
9610 METROPOLITAN AVE, FOREST HILLS, NY 11375-6625
(718) 286-3877
(718) 663-5781
Mailing address
20 PEACHTREE CT, SUITE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003194-1
NY
225XH1200X
Hand Occupational Therapist
Primary
007731-1
NY

Other

Enumeration date
07/05/2006
Last updated
09/11/2025
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