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Organization
FIRST STEP PHYSICAL THERAPY OF LONG ISLAND
Active
Organization
FIRST STEP PHYSICAL THERAPY OF LONG ISLAND
Active
Other names
First Step Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LYSAGHT PT, OCS (OWNER)
(631) 923-2288
Entity
Organization
Contact information
Practice address
900 WALT WHITMAN RD, SUITE 310, MELVILLE, NY 11747-2293
(631) 923-2288
Mailing address
900 WALT WHITMAN RD, SUITE 310, MELVILLE, NY 11747-2293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021743
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300025474
MEDICARE PTAN
NY
Enumeration date
05/03/2011
Last updated
05/03/2011
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