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Organization
PERFORMANCE REHABILITATION PT PLLC
Active
Organization
PERFORMANCE REHABILITATION PT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WAYNE SREBNIK MS, PT CHT (OWNER / PRESIDENT)
(914) 776-7310
Entity
Organization
Contact information
Practice address
955 YONKERS AVE, STE 109, YONKERS, NY 10704-3060
(914) 776-7310
(914) 776-7566
Mailing address
955 YONKERS AVE, STE 109, YONKERS, NY 10704-3060
(914) 776-7310
(914) 776-7566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122316
UNITED HEALTHCARE
NE
01
—
30201
ORTHONET
NY
01
—
5080104
AETNA PPO / POS
NY
01
—
G494708
OXFORD HEALTH PLAN
NY
Enumeration date
10/24/2006
Last updated
06/15/2015
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