| |
317 Middle Country Road, Suite # 3, Smithtown, NY 11787 | |
(631) 361-9246 | |
(888) 215-5091 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 317 Middle Country Road, Smithtown, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881614295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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569 E Main Street, Bayshore, NY 11706-8505 Ph: (631) 665-8645 | 317 Middle Country Road, Suite # 3, Smithtown, NY 11787 Ph: (631) 361-9246 |