North Nassau Physical Therapy And Rehabilitation ,pc | |
63 Mineola Ave, Roslyn, NY 11576-2001 | |
(516) 484-0515 | |
(516) 625-4546 |
Full Name | North Nassau Physical Therapy And Rehabilitation ,pc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 63 Mineola Ave, Roslyn, 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 |
---|---|---|---|
1437399797 | NPI | - | NPPES |
Q52602 | Other | NY | MEDICARE PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4913 (New York) | Primary |
Provider Name | Paul Liebhaber |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144383712 PECOS PAC ID: 7719145366 Enrollment ID: I20120328000221 |
Mailing Address | Practice Location Address |
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North Nassau Physical Therapy And Rehabilitation ,pc 63 Mineola Ave, Roslyn, NY 11576-2001 Ph: (516) 484-0515 | North Nassau Physical Therapy And Rehabilitation ,pc 63 Mineola Ave, Roslyn, NY 11576-2001 Ph: (516) 484-0515 |
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