Premier Physical Therapy of Long Island PC

NPI #1528351988 in Patchogue, New York

Provider Information

NPI Number: 1528351988
Entity Type: Organization
Organization Name: Premier Physical Therapy of Long Island PC
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2011
Last Updated: May 18, 2011

Practice Location

Address: 1 TERRY ST
City: Patchogue
State: New York
ZIP Code: 11772-1720
Phone: (111) 111-1111

Authorized Official

Name: DR. MATTHEW DAVID ANGELILLO, DPT
Title: DIRECTOR
Phone: (111) 111-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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