# SELECT PT, OT & SLP REHABILITATION NY PLLC

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

## Provider details

- **NPI number:** 1457026353
- **Authorized official:** ANNA GARDINA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (847) 441-5593

## Contact information

- **Practice address:** 125 HARRY HOWARD AVE, HUDSON, NY 12534-1601
- **Practice address phone:** (518) 828-7695
- **Mailing address:** 2600 COMPASS RD, GLENVIEW, IL 60026-8001
- **Mailing address phone:** (678) 491-6692
- **Mailing address fax:** (847) 386-5196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 12/23/2021
