Organization
AGING GRACEFULLY PHYSICAL THERAPY SVC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND N CECORA PT, DPT, MS (PRESIDENT)
(516) 797-2657
Entity
Organization
Contact information
Practice address
5500 MERRICK RD, MASSAPEQUA, NY 11758-6216
(516) 797-2657
(516) 541-8934
Mailing address
5500 MERRICK RD, MASSAPEQUA, NY 11758-6216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0128901
NY
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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