Sports Physical Therapy Occupational Therapy And Rehabilitation Servic
Physical Therapist, Hand in Garden City, NY. Organization (NPI-2).
NPI number1164040564
StatusActive
Last updated in NPPESDec 8, 2022
Details
- NPI
- 1164040564
- Entity type
- Organization (NPI-2)
- Legal business name
- Sports Physical Therapy Occupational Therapy And Rehabilitation Servic
- Organization subpart
- No
- Enumeration date
- Jul 12, 2020
- Certification date
- Dec 8, 2022
- Last updated
- Dec 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251H1200X | Physical Therapist, Hand | – | – | Yes |
| 225XH1200X | Occupational Therapist, Hand | – | – |
Practice location
1101 Stewart Ave Ste 100Garden City, NY 11530-4833
Phone 516-234-6158
Mailing address
3 Huntington Quadrangle Ste 103nMelville, NY 11747-4601
Phone 516-474-2816
Authorized official
Daniel Vaknin
Vice President
5163217801
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