Individual
ELIZABETH MAGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 BAYPORT AVE, BAYPORT, NY 11705-1425
(631) 472-0734
Mailing address
550 BAYPORT AVE, BAYPORT, NY 11705-1425
(631) 472-0734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05416
NY
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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