Bay Shore Physical Therapy
Physical Therapist in Bay Shore, NY. Organization (NPI-2).
NPI number1740353481
StatusActive
Last updated in NPPESJun 11, 2008
Details
- NPI
- 1740353481
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Shore Physical Therapy
- Organization subpart
- No
- Enumeration date
- Nov 17, 2006
- Last updated
- Jun 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 0151101 | NY | Yes |
Practice location
1590 Union BlvdBay Shore, NY 11706
Phone 631-665-2421 · Fax 631-665-3416
Mailing address
1590 Union BlvdBay Shore, NY 11706
Phone 631-665-2421 · Fax 631-665-3416
Authorized official
Nick Porillico
President
6316652421
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