| |
1842 E Jericho Tpke, Huntington, NY 11743-5796 | |
(631) 486-7900 | |
(631) 486-2973 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1842 E Jericho Tpke, Huntington, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184226128 | NPI | - | NPPES |
Provider Name | Shruti Shah |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821376211 PECOS PAC ID: 8224358122 Enrollment ID: I20150515001924 |
Provider Name | Alexander James Udey |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518520329 PECOS PAC ID: 7911249818 Enrollment ID: I20190424002409 |
Provider Name | Miteshkumar D Patel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366975039 PECOS PAC ID: 8022344548 Enrollment ID: I20190722002609 |
Provider Name | Joan B Dais |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255908372 PECOS PAC ID: 8426450099 Enrollment ID: I20210706002316 |
Provider Name | Kyle Bettex |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285339788 PECOS PAC ID: 6800261447 Enrollment ID: I20230412001384 |
Provider Name | Kinjal S Vyas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538708094 PECOS PAC ID: 1153764840 Enrollment ID: I20240209001569 |
Mailing Address | Practice Location Address |
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19 Sandy Hollow Dr, Smithtown, NY 11787-3006 Ph: (516) 946-2503 | 1842 E Jericho Tpke, Huntington, NY 11743-5796 Ph: (631) 486-7900 |