| |
1 Larkfield Rd, E Northport, NY 11731-1801 | |
(631) 987-3911 | |
(631) 422-3723 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1 Larkfield Rd, E Northport, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912114331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0206711 (New York) | Primary |
Mailing Address | Practice Location Address |
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1 Larkfield Rd, E Northport, NY 11731-1801 Ph: (631) 987-3911 | 1 Larkfield Rd, E Northport, NY 11731-1801 Ph: (631) 987-3911 |
Thomas James Bradley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 82 Wintercress Ln, E Northport, NY 11731 Phone: 631-266-5993 Fax: 631-266-5993 |