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1740353481
BAY SHORE PHYSICAL THERAPY
BAY SHORE, NY
NPI
1740353481
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Entity Type
Organization
Authorized Contact
NICK PORILLICO
President
631-665-2421
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 0151101)
Enumeration Date
2006-11-17
Last Update Date
2008-06-11
Business Address
BAY SHORE PHYSICAL THERAPY
1590 UNION BLVD
BAY SHORE, NY 11706
Phone number: 631-665-2421
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Mailing Address
BAY SHORE PHYSICAL THERAPY
1590 UNION BLVD
BAY SHORE, NY 11706
Phone number: 631-665-2421
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