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Individual

DR. MICHAEL ROBERT DEFEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1325 FRANKLIN AVE STE LL105, GARDEN CITY, NY 11530-1688
(516) 280-8811
(516) 280-8809
Mailing address
1325 FRANKLIN AVE STE LL105, GARDEN CITY, NY 11530-1688
(516) 280-8811
(516) 280-8809

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
030387
NY

Other

Enumeration date
07/10/2008
Last updated
03/04/2021
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