Soundport Pt, PC

NPI #1710634829 in Melville, New York

Provider Information

NPI Number: 1710634829
Entity Type: Organization
Organization Name: Soundport Pt, PC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 8, 2022
Last Updated: May 3, 2022

Practice Location

Address: 713 WALT WHITMAN RD STE B
City: Melville
State: New York
ZIP Code: 11747-2219
Phone: (631) 425-5900

Authorized Official

Name: MR. KEITH KALENDERIAN
Title: DIRECTOR
Phone: (516) 759-9717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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