Organization
PUMARADA PHYSICAL THERAPY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYLITO POLIQUIT PUMARADA PT, DPT (DIRECTOR)
(631) 669-0415
Entity
Organization
Contact information
Practice address
126 HUNTER AVE, NORTH BABYLON, NY 11703-4602
(631) 669-0415
(631) 669-1455
Mailing address
126 HUNTER AVENUE, NORTH BABYLON, NY 11703
(631) 669-0415
(631) 669-1455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
020030
NY
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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