Out East Therapy of New York for Ot, Pt, Slp, Rn and Psychology Servic

NPI #1427370501 in Center Moriches, New York

Provider Information

NPI Number: 1427370501
Entity Type: Organization
Organization Name: Out East Therapy of New York for Ot, Pt, Slp, Rn and Psychology Servic
Primary Specialty: Contractor
Enumeration Date: Feb 17, 2010
Last Updated: Feb 17, 2010

Practice Location

Address: 77 UNION AVE
City: Center Moriches
State: New York
ZIP Code: 11934-3213
Phone: (631) 874-0571

Authorized Official

Name: KRISTA DEBLER
Title: OWNER
Phone: (631) 874-0571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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