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NPI Code Detail

MEDICARE: PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC

MEDICARE: PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistNY

General Provider Information

NPI Number : 1356453633
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 576 BROADHOLLOW RD
Second Line :
City : MELVILLE
State : NY
Zip : 11747-5002
Country : US
Telephone Number : 631-359-5800
Fax Number :
Provider Business Practice Location Address
First Line : 16 E 52ND ST FL 6
Second Line :
City : NEW YORK
State : NY
Zip : 10022-5306
Country : US
Telephone Number : 212-752-2400
Fax Number :
Authorized Official
Title or Position : SVP OF ADMINISTRATIVE OPERATIONS
Name : MRS. HELEN AGRELO
Credential :
Telephone Number : 516-321-2424
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/29/2018

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Directions to “PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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