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Organization
NORTH NASSAU PHYSICAL THERAPY AND REHABILITATION ,PC
Active
Organization
NORTH NASSAU PHYSICAL THERAPY AND REHABILITATION ,PC
Active
Parent organization
NORTH NASSAU PHYSICAL THERAPY AND REHABILITATION, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH NASSAU PHYSICAL THERAPY AND REHABILITATION, PC
Authorized official
MR. PAUL LIEBHABER PHYSICAL THERAPIST (OWNER)
(516) 484-0515
Entity
Organization
Contact information
Practice address
63 MINEOLA AVE, ROSLYN, NY 11576-2001
(516) 484-0515
(516) 625-4546
Mailing address
63 MINEOLA AVE, ROSLYN, NY 11576-2001
(516) 484-0515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q52602
MEDICARE PROVIDER ID
NY
Enumeration date
02/26/2009
Last updated
02/26/2009
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