Individual
MAX S OSCAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
167 MAIN ST, SOUTHAMPTON, NY 11968-4823
(631) 283-4190
Mailing address
222 ACKERTOWN RD, MONSEY, NY 10952-5101
(845) 263-4917
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
042456
NY
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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