Organization
ADVANCED SPORTS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MCCOY PHYSICAL THERAPIST (OWNER)
(631) 689-5940
Entity
Organization
Contact information
Practice address
100 N BELLE MEAD RD, SUITE A, EAST SETAUKET, NY 11733-3455
(631) 689-5940
Mailing address
100 N BELLE MEAD RD, SUITE A, EAST SETAUKET, NY 11733-3455
(631) 689-5940
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
014530-1
NY
Other
Enumeration date
05/06/2007
Last updated
05/16/2013
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