Innovative Physical Therapy Of Long Island P.C.
Clinic/Center, Physical Therapy in Mineola, NY. Organization (NPI-2).
NPI number1861985665
StatusActive
Last updated in NPPESJun 7, 2018
Details
- NPI
- 1861985665
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Physical Therapy Of Long Island P.C.
- Organization subpart
- No
- Enumeration date
- Jun 7, 2018
- Last updated
- Jun 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 031561 | NY | Yes |
Practice location
193 Jericho TpkeMineola, NY 11501-1702
Phone 516-747-2323 · Fax 516-747-2305
Mailing address
193 Jericho TpkeMineola, NY 11501-1702
Phone 516-747-2323 · Fax 516-747-2305
Authorized official
Yaniv Raich
Owner, Pt
5167472323
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All 7 Physical Therapy Clinic/Center providers in Mineola · All 2,401 providers in Mineola
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