Seaside Physical Therapy P.C. in Island Park - Specialist
Seaside Physical Therapy P.C. - NPI 1366641193
Seaside Physical Therapy P.C. is a Specialist in Island Park, New York. Seaside Physical Therapy P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Seaside Physical Therapy P.C. is 1366641193. The last update date is 2022-07-21.
Seaside Physical Therapy P.C.'s current location address is 3961 Long Beach Rd, Island Park, New York. You can contact this provider via phone number 5168979700 and fax number 5168970529. The mailing address for Seaside Physical Therapy P.C. is 3961 Long Beach Rd, Island Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Seaside Physical Therapy P.C. |
|---|---|
| Address | 3961 Long Beach Rd, Island Park, New York |
| Phone Number | 5168979700 |
| Fax Number | 5168970529 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sullivan Francis Joseph |
| Credentials | PT, OCS, C |
| Telephone Number | 5165998734 |
NPI Number Detail
| NPI Number | 1366641193 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3961 Long Beach Rd |
|---|---|
| City | Island Park |
| State | New York (NY) |
| Post Code | 115581127 |
| Phone Number | 5168979700 |
| Fax Number | 5168970529 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Seaside Physical Therapy P.C.'s 1366641193?
The Seaside Physical Therapy P.C.'s NPI (National Provider Identifier) Number is 1366641193. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Seaside Physical Therapy P.C. located?
The Seaside Physical Therapy P.C. is located at 3961 Long Beach Rd, Island Park, NY 115581127.
What is Seaside Physical Therapy P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Seaside Physical Therapy P.C. is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Seaside Physical Therapy P.C. receive the assignment of its 1366641193 from the Centers for Medicare & Medicaid Services?
The Seaside Physical Therapy P.C. was issued its 1366641193 by the Centers for Medicare & Medicaid Services on 2007-07-12.
When was the information pertaining to Seaside Physical Therapy P.C. most recently updated or revised?
The details related to Seaside Physical Therapy P.C., including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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