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General NPI Number Information
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NPI Number | 1417564253
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Entity Type | Organization
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Legal Business Name | SUFFOLK PHYSICAL THERAPY & CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 740 WALT WHITMAN RD
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City | MELVILLE
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State | NY
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Zip | 11747-2212
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Country | US
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Telephone | 631-646-2256
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Fax | 631-249-1793
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Provider Business Mailing Address
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Address Line | PO BOX 1359
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City | MELVILLE
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State | NY
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Zip | 11747-0308
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Country | US
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Telephone | 631-646-2256
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Fax | 631-249-1793
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | THOMAS F DOW
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Credential |
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Telephone | 631-249-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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