Organization
GNM PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MUSIALIK PT (PRESIDENT)
(917) 721-5058
Entity
Organization
Contact information
Practice address
92 HIGH ST, MONROE, NY 10950-3306
(917) 721-5058
(917) 721-5058
Mailing address
92 HIGH ST, MONROE, NY 10950-3306
(917) 721-5058
(917) 721-5058
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
020980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04198
GHI-MEDICARE
NY
Enumeration date
04/17/2007
Last updated
06/22/2012
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