Organization
PROSPORTS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LACASSE P.T. (OWNER)
(631) 424-1100
Entity
Organization
Contact information
Practice address
467 NEW YORK AVE, HUNTINGTON, NY 11743-3441
(631) 424-1100
(631) 424-1105
Mailing address
467 NEW YORK AVE, HUNTINGTON, NY 11743-3441
(631) 424-1100
(631) 424-1105
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7489
NY
Other
Enumeration date
04/06/2007
Last updated
08/18/2025
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