| NPI | 1104649292 |
|---|---|
| Other Name | ACCESS PT EAST PATCHOGUE |
| Entity Type | Organization |
| Authorized Contact | JOHN M PREOLO Senior Director Provider Credential 914-608-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-07-07 |