# PHYSICAL THERAPY ASSOCIATES OF LAKE SUCCESS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174549463
- **Authorized official:** ANGELA HITSOUS (M.D.)
- **Authorized official phone:** (516) 353-0256

## Contact information

- **Practice address:** 444 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1165
- **Practice address phone:** (516) 353-0256
- **Mailing address:** 444 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1165
- **Mailing address phone:** (516) 353-0256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 003786 | NY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 004454 | NY | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 08/22/2020