Organization
PROGRESSIVE CARE MEDICAL GROUP OF PA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK PATEL M.D. (OWNER)
(917) 514-2881
Entity
Organization
Contact information
Practice address
1642 FAIRFIELD RD, YARDLEY, PA 19067-3942
(516) 855-5255
Mailing address
150 EILEEN WAY UNIT 1, SYOSSET, NY 11791-5313
(516) 855-5255
(516) 921-2451
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
08/29/2022
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