SearchNew York225100000X

Gary Despres, P.T

NPI 1639380892 · on the registry since 2007 · sole proprietor

Practice

Address
53345 Route 25 Bldg 8-1
Southold, NY 11971
Phone
(631) 765-8760
Fax
(631) 765-8761

Additional practice sites

  • 57190 Main Rd, Southold, NY
  • 185 Old Country Rd, Riverhead, NY

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
2251X0800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York