Organization
PEGASUS PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT IRWIN (PRESIDENT)
(631) 543-1614
Entity
Organization
Contact information
Practice address
152 VETERANS MEMORIAL HWY, COMMACK, NY 11725-3634
(631) 543-1614
(631) 543-1615
Mailing address
152 VETERANS MEMORIAL HWY, COMMACK, NY 11725-3634
(631) 543-1614
(631) 543-1615
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
14649
NY
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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