| |
4089 Nesconset Highway, Centereach, NY 11720 | |
(631) 331-6711 | |
(888) 583-1288 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 4089 Nesconset Highway, Centereach, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730109141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
120 Newham Avenue, Brentwood, NY 11717 Ph: (631) 813-2143 | 4089 Nesconset Highway, Centereach, NY 11720 Ph: (631) 331-6711 |