Organization
NY PHYSICAL THERAPY IN HOME THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DIAZ PT (OWNER/PT)
(516) 261-9510
Entity
Organization
Contact information
Practice address
650 WANTAGH AVE, LEVITTOWN, NY 11756-5390
(516) 261-9510
(516) 597-5541
Mailing address
650 WANTAGH AVE, LEVITTOWN, NY 11756-5390
(162) 619-5105
(516) 597-5541
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
02/18/2021
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