# AMERICAN EDGE PHYSICAL THERAPY, P.C.

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

## Provider details

- **NPI number:** 1679173579
- **Authorized official:** CRAIG YELLIN (MANAGER)
- **Authorized official phone:** (516) 984-6926

## Contact information

- **Practice address:** 1889 LINCOLN AVE, EAST MEADOW, NY 11554-2522
- **Practice address phone:** (516) 659-4904
- **Mailing address:** 1889 LINCOLN AVE, EAST MEADOW, NY 11554-2522
- **Mailing address phone:** (516) 659-4904

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2020
- **Last updated:** 10/29/2020