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Organization
INTERVENTIONAL PHYSICAL MEDICINE AND REHAB OF NEW YORK, PLLC
Active
Organization
INTERVENTIONAL PHYSICAL MEDICINE AND REHAB OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RIVERA (OFFICE MANAGER)
(516) 888-7614
Entity
Organization
Contact information
Practice address
1615 NORTHERN BLVD, GR 1, MANHASSET, NY 11030
(516) 888-7614
Mailing address
8 SUMTER AVE, EAST WILLISTON, NY 11596-2433
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
11/04/2021
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