| Islander Physical And Occupational Therapy Services, Pllc | |
|
1461 Lakeland Ave Suite 12 Bohemia NY 11716-2174 | |
| (516) 745-1177 | |
| (516) 745-1189 |
| Full Name | Islander Physical And Occupational Therapy Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1461 Lakeland Ave, Bohemia, New York |
| Authorized Official Name and Position | Chris Kalinoglu (DIRECTOR) |
| Authorized Official Contact | 5167451177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Islander Physical And Occupational Therapy Services, Pllc 1101 Stewart Ave Suite 100 Garden City NY 11530-4892 Ph: (516) 745-1177 | Islander Physical And Occupational Therapy Services, Pllc 1461 Lakeland Ave Suite 12 Bohemia NY 11716-2174 Ph: (516) 745-1177 |
| NPI Number | 1174959878 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 09/25/2013 |
| Medicare PECOS PAC ID | 6507181732 |
|---|---|
| Medicare Enrollment ID | O20150211000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174959878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 015455 (New York) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 015455 (New York) | Primary |
| Provider Name | Chris Kalinoglu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417070947 PECOS PAC ID: 6406172121 Enrollment ID: I20150227000139 |
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