| NPI |
Provider Name |
Address |
Type |
| 1548936263 | JENNIFER DEVEGLIO | 20 ROSALIE PL
PATCHOGUE, NY
ZIP 11772
Phone: (631) 637-0184
| Individual |
| 1316912827 | MR. SCOTT DAVID GRUDER, MSED, ATC, CSCS | 155 W ROE BLVD
ST. JOSEPH'S COLLEGE JOHN A DANZI ATHLETIC CENTER
PATCHOGUE, NY
ZIP 11772
Phone: (631) 447-3330
| Individual |
| 1215408125 | MRS. BETTY B. PETERSON | 153 SHORE RD
PATCHOGUE, NY
ZIP 11772
Phone: (631) 207-5875
| Individual |
| 1619176765 | MRS. KENDRA SAKAMOTO, MS, ATC | 155 W ROE BLVD
PATCHOGUE, NY
ZIP 11772
Phone: (631) 447-3330
| Individual |
| 1831741339 | MR. ANDRE MICHAEL VENNER, MS, LAT, ATC | 155 W ROE BLVD
PATCHOGUE, NY
ZIP 11772
Phone: (914) 906-3735
| Individual |