Organization
ST.CHARLES REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DEGEN DPT (PHYSICAL THERAPIST)
(631) 580-8720
Entity
Organization
Contact information
Practice address
3279 VETERANS MEMORIAL HWY, RONKONKOMA, NY 11779-7673
(631) 580-8720
Mailing address
3279 VETERANS MEMORIAL HWY, RONKONKOMA, NY 11779-7673
(631) 580-8720
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
031919
NY
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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