Organization
COBY SCACCIA PT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COBY MARIE SCACCIA PT (PRESIDENT)
(518) 858-2858
Entity
Organization
Contact information
Practice address
58 OCEANVIEW DR, MASTIC BEACH, NY 11951-1522
(518) 858-2858
(631) 657-3858
Mailing address
58 OCEANVIEW DR, MASTIC BEACH, NY 11951-1522
(518) 858-2858
(631) 657-3858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013823-1
NY
Other
Enumeration date
05/13/2010
Last updated
09/07/2010
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