Jade Physical Therapy Pc

Specialty details in registry · Copiague, NY

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At a glance

557 Oak St, Copiague, NY 11726-3215

NPPES record updated Dec 5, 2012. Public records can lag behind changes at a practice.

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Practice location

557 Oak St
Copiague, NY 11726-3215

Professional details: NPI, taxonomy & registry record

NPI1154666972

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QP2000X
Enumeration date: Dec 5, 2012
Record updated: Dec 5, 2012

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QP2000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

557 Oak St
Copiague, NY 11726-3215

Phone: (631) 464-4700

Mailing address

557 OAK ST

COPIAGUE, NY 117263215

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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