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Richard Newman, PT

Physical Therapist in Massapequa, NY. Individual provider (NPI-1).

NPI number1316211360
StatusActive
Last updated in NPPESMar 7, 2012

Details

NPI
1316211360
Entity type
Individual (NPI-1)
Name
Mr. Richard Newman
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 7, 2012
Last updated
Mar 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist021182-1NYYes

Practice location

21 Rutland Rd
Massapequa, NY 11758-2425

Phone 516-313-9629

Mailing address

21 Rutland Rd
Massapequa, NY 11758-2425

Phone 516-313-9629

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