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Organization
LIFESTYLE PHYSICAL THERAPY, PC
Active
Organization
LIFESTYLE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL L. MEYERS P.T., DPT (PRESIDENT)
(631) 360-0313
Entity
Organization
Contact information
Practice address
309 E MAIN ST, STE 202, SMITHTOWN, NY 11787-2844
(631) 360-0313
Mailing address
309 E MAIN ST, STE 202, SMITHTOWN, NY 11787-2844
(631) 360-0313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0085701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914570
—
NY
Enumeration date
11/29/2006
Last updated
08/22/2020
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