P.t.c Medical, P.c.

NPI #1740360130 in Patchogue, New York

Provider Information

NPI Number
1740360130
Entity Type
Organization
Organization Name
P.t.c Medical, P.c.
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Oct 17, 2006
Last Updated
Jan 28, 2015

Practice Location

Address
79 E MAIN ST
ZIP Code
11772-3101
Phone
(631) 289-0088

Authorized Official

Name
PAOLO THOMAS COPPOLA, MD
Title
DC
Phone
(631) 289-0088

Specialties & Taxonomy Codes

Specialty
Chiropractor
Physical Medicine & Rehabilitation

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