G1l Physical Therapy P.C.
Clinic/Center, Physical Therapy in Glen Cove, NY. Organization (NPI-2).
NPI number1164088712
StatusActive
Last updated in NPPESMay 18, 2019
Details
- NPI
- 1164088712
- Entity type
- Organization (NPI-2)
- Legal business name
- G1l Physical Therapy P.C.
- Organization subpart
- No
- Enumeration date
- May 18, 2019
- Last updated
- May 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
7 Walnut RdGlen Cove, NY 11542-2267
Phone 516-609-9400 · Fax 516-609-9402
Mailing address
4630 206th St Fl 1Bayside, NY 11361-3163
Phone 503-901-9772
Authorized official
Giwon Lee
Provider
5039019772
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