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Gerigymllc

Physical Therapist in East Meadow, NY. Organization (NPI-2).

NPI number1003543232
StatusActive
Last updated in NPPESAug 8, 2022

Details

NPI
1003543232
Entity type
Organization (NPI-2)
Legal business name
Gerigymllc
Organization subpart
No
Enumeration date
Aug 8, 2022
Certification date
Aug 8, 2022
Last updated
Aug 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

2147 4th St
East Meadow, NY 11554-1853

Phone 516-445-4935

Mailing address

2147 4th St
East Meadow, NY 11554-1853

Phone 516-445-4935

Authorized official

Santhosh Kachanathu Philip
Physical Therapist
5164454935

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